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Discussion of 4 classification methods of colonic morphology reconstruction in irritable bowel syndrome |
XUE Runguo1 XUAN Jianxin2 CUI Bing3 SU Bin1 XIN Hong4 CUI Baoji1 LI Jianhui1 |
1.Department of Gastrology, Chengde Central Hospital, Hebei Province, Chengde 067000, China;
2.CT Room, Chengde Central Hospital, Hebei Province, Chengde 067000, China;
3.Department of Radiology, Chengde Central Hospital, Hebei Province, Chengde 067000, China;
4.Department of Science and Education, Chengde Central Hospital, Hebei Province, Chengde 067000, China |
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Abstract Objective To discuss the practical application value of colonic morphology reconstruction (CTC) in irritable bowel syndrome (IBS). Methods From January 2014 to January 2016, in Chengde Central Hospital, 110 patients with IBS were selected. all patients were given colonic morphology reconstruction by MSCT, they were divided into 4 types by CTC data: length type, twisted type, spastic type and inability type, The correlativity of all the clinical symptoms of different types of IBS was analyzed. Results The results showed 27 cases (24.55%) were length type, 22 cases (20.00%) were distorted type, 37 cases (33.64%) were spasticity type and 24 cases (21.82%) were weakness type, colon curvature and total length of 4 types were compared, the differencea were statistically significant (P < 0.05), constipation, incomplete defecation, stimulated diarrhea and abdominal distension of 4 types were compared, the differencea were statistically significant (P < 0.05). The lengthy type was positively correlated with constipation (r = 0.943, P < 0.05), distortion was positively correlated with poor defecation (r = 0.876, P < 0.05), spasticity was positively correlated with postganglionic diarrhea (r = 0.815, P < 0.05), and insufficiency was positively correlated with bloating (r = 0.973, P < 0.05). Conclusion IBS can be subdivided into four types by MSCT reconstruction, and each type has typical clinical symptoms, which can provide experimental basis for clinical diagnosis and treatment.
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