Clinical Application of CT Imaging Grading System in Upper Urinary Tract Calculi with Kidney Infection.

IF 1.2 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Clinical and Investigative Medicine Pub Date : 2024-09-01 DOI:10.3138/cim-2024-0107

Jianping Zhang, Lingfeng Zhu, Xiaoxia Wu, Haiying Chen, Runyang Pan, Zihuang Hong, Rongkai Lin

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引用次数: 0

Abstract

Purpose: This study aimed to establish a CT imaging grading system and explore its value in evaluating upper urinary tract calculi associated with kidney infections.

Methods: CT images of 126 patients with kidney infections caused by upper urinary tract calculi were retrospectively analyzed. The CT grading system was developed based on CT images. CT images were classified into 4 grades. General information, symptoms, and clinical findings of patients in different CT grades were analyzed. With the occurrence of systemic inflammatory response syndrome (SIRS) as the endpoint, univariate and multivariate analysis was conducted to analyze the risk factors of SIRS.

Results: Patients with fever or diabetes had higher CT grades, and the following examination data revealed significant differences across the various CT grades (P < 0.05): the white blood cell count, urine leucocytes count, CT1, CT2, maximum body temperature, duration of disease, the proportion of blood neutrophils, the size of stones, and levels of the C-reactive protein and procalcitonin. Only CT grading was statistically significant after multivariate analysis. According to the values of the partial regression coefficient (B), the higher the CT grade, the greater the risk of SIRS. The risk of SIRS was 4.472 times higher with each increment of the CT grade.

Conclusions: The CT grade is directly associated with clinical symptoms and the risk of SIRS.

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CT 成像分级系统在上尿路结石合并肾脏感染中的临床应用

目的：本研究旨在建立一套 CT 成像分级系统，并探讨其在评估与肾脏感染相关的上尿路结石方面的价值：方法：回顾性分析了126例由上尿路结石引起的肾脏感染患者的CT图像。根据 CT 图像建立了 CT 分级系统。CT 图像被分为 4 个等级。分析了不同 CT 分级患者的一般信息、症状和临床表现。以全身炎症反应综合征（SIRS）的发生率为终点，进行单变量和多变量分析，以分析SIRS的风险因素：发热或糖尿病患者的CT分级更高，以下检查数据在不同CT分级之间存在显著差异（P<0.05）：白细胞计数、尿白细胞计数、CT1、CT2、最高体温、病程、血中性粒细胞比例、结石大小、C反应蛋白和降钙素原水平。经多变量分析，只有CT分级具有统计学意义。根据部分回归系数（B）的值，CT分级越高，发生SIRS的风险越大。CT分级每增加一级，SIRS的风险就增加4.472倍：结论：CT 分级与临床症状和 SIRS 风险直接相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Investigative Medicine 医学-医学：研究与实验

CiteScore

1.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical and Investigative Medicine (CIM), publishes original work in the field of Clinical Investigation. Original work includes clinical or laboratory investigations and clinical reports. Reviews include information for Continuing Medical Education (CME), narrative review articles, systematic reviews, and meta-analyses.