CT小肠造影对克罗恩病患者术后复发及复发再手术的评估价值

Objective: To explore the value of CT enterography (CTE) in the assessment of postoperative recurrence and reoperation of Crohn's disease (CD). Methods: Clinical data and postoperative CTE images 72 CD patients undergoing surgery were retrospectively analyzed. Patients were divided into non-recurrence group (NR group, n= 6), recurrence-medication group (RM group, n= 45) and repeated surgery group (RS group, n= 21) according to the clinical outcome during follow up period. The disease activity was evaluated by using a semi-quantitative CTE scoring system ranging from 0 to 3. Differences of CTE scores were compared among NR, RM and RS groups. Kaplan-Meier method was used to examine the cumulative postoperative recurrence and reoperation rate in CD patients. Results: Among 72 patients, 6 patients were categorized as NR group with all CTE scores of 0; 45 were as RM group with median CTE score of 3 (0-3) ; 21 were as RS group with median CTE score of 3 (2-3). There were significant differences in CTE scores among NR, RM and RS group (P<0.001). The patients with CTE score of 3 showed significantly higher percentage of reoperation than the patients with CTE score of 2 (P<0.001). Conclusion: CTE can evaluate the postoperative recurrence and provide more informations for the precise personalized therapies in the treatment of CD patients.