首页|腹部CT诊断为囊肿患者2 559例的回顾性研究

腹部CT诊断为囊肿患者2 559例的回顾性研究

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

Abdominal CTCystTumorAgeGenderRetrospective study

陈勇、南瑞雪、曹晋、何德英、任毅

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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

腹部CT 囊肿 肿瘤 年龄 性别 回顾性研究

重庆市自然科学基金项目重庆市教委科学技术研究计划项目成都中医药大学2022年度"杏林学者"医院专项项目

CSTB2022NSCQ-MSX0978KJZD-K202215103YYZX2022129

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(1)
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