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腹部CT诊断为囊肿患者2 559例的回顾性研究OA

A retrospective study of 2 559 patients with cysts diagnosed by abdominal CT

中文摘要英文摘要

目的 探讨腹腔囊肿患者发生肿瘤的风险.方法 对重庆市中医院2019年2月至2020年1月2 559例腹部CT诊断囊肿的患者进行回顾性研究,采用二分类logistic回归方法分析腹部CT诊断为囊肿患者发生肿瘤的风险,并分析肝囊肿、肾囊肿、脾囊肿患病风险在年龄与性别上是否具有差异.结果 2 559例患者中左肾囊肿2 405例(94.0%),右肾囊肿2 272例(88.8%),肝囊肿1 167例(45.6%),双肾囊肿903例(35.3%),合并肿瘤625例(24.4%),脾囊肿7例(0.3%).相关性分析显示,双肾囊肿与左肾囊肿、右肾囊肿呈正相关(r=0.619、0.688);回归分析显示,性别、脾囊肿、肾囊肿、肝囊肿对于肿瘤的患病风险差异无统计学意义(P>0.05),年龄差异有统计学意义[比值比(OR)=1.015,95%可信区间(95%CI)1.008~1.022,P<0.001];性别(OR=0.727,95%CI 0.570~0.928,P=0.011)、年龄(OR=1.041,95%CI 1.031~1.052,P<0.001)、肝囊肿(OR=0.001,95%CI 0.000~0.005,P<0.001)对于肾囊肿的患病风险,差异有统计学意义;对于肝囊肿的患病风险,仅有肾囊肿因素差异有统计学意义(OR=0.001,95%CI 0.000~0.005,P<0.001).结论 囊肿不是肿瘤的危险因素;女性较男性更容易患肾囊肿,随着年龄的增加患肾囊肿的风险增加.

Objective To investigate the risk of tumor occurrence in the patients with abdominal cyst.Methods A retrospective study was performed on 2 559 patients with cysts from February,2019 to January,2020 of Chongqing Municipal Hospital of Traditional Chinese Medicine diagnosed by abdominal CT.The bina-ry logistic regression method was adopted to analyze the risk of tumor occurrence in the patients with cyst di-agnosed by abdominal CT.Then whether the occurrence risk of liver cyst,renal cyst and spleen cyst having the differences in age and sex was analyzed.Results Among 2 559 cases,there were 2 405 cases(94.0%)of left renal cyst,2 272 cases(88.8%)of right renal cyst,1 167 cases(45.6%)of hepatic cyst,903 cases(35.3%)of double renal cysts,625 cases(24.4%)of complicating tumor and 7 cases(0.3%)of splenic cyst.The correla-tion analysis showed that the double renal cysts were positively correlated with left renal cyst and right renal cyst(r=0.619,0.688);the regression analysis showed that gender,splenic cyst,renal cyst and hepatic cyst had no statistically significant difference in the risk of tumor occurrence(P>0.05),while the age factor had a statistically significant difference(OR=1.015,95%CI 1.008-1.022,P<0.001);gender(OR=0.727,95%CI 0.570-0.928,P=0.011),age(OR=1.041,95%CI 1.031-1.052,P<0.001)and hepatic cyst(OR=0.001,95%CI 0.000-0.005,P<0.001)had a statistically significant difference in the occurrence risk of re-nal cyst;for the occurrence risk of hepatic cyst,only the difference in renal cyst factor had statistical signifi-cance(OR=0.001,95%CI 0.000-0.005,P<0.001).Conclusion Cyst is not a risk factor for tumor.Female is more likely to suffer from renal cyst than male,and the risk of renal cysts occurrence is increased with age increase.

陈勇;南瑞雪;曹晋;何德英;任毅

重庆市中医院中医经典科,重庆 400021成都中医药大学研究生院,四川 成都 610075

特种医学

腹部CT囊肿肿瘤年龄性别回顾性研究

Abdominal CTCystTumorAgeGenderRetrospective study

《现代医药卫生》 2024 (001)

31-34 / 4

重庆市自然科学基金项目(CSTB2022NSCQ-MSX0978);重庆市教委科学技术研究计划项目(KJZD-K202215103);成都中医药大学2022年度"杏林学者"医院专项项目(YYZX2022129).

10.3969/j.issn.1009-5519.2024.01.006

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