小児の機能性便秘を初心者と専門医の両方によって評価するためのポケットサイズの手持ちの超音波検査
Pola Waissman1, Ron Berant2, Lisa Amir2
1Neuromuscular and Human Performance Laboratory, Department of Physiotherapy, Ariel University, Ariel, Israel.
Frontiers in pediatrics
|September 2, 2025
まとめ
ポケットサイズの超音波 (PsUS) は,小児機能性便秘 (PFC) を評価するための有効で信頼できるツールです. 異なる超音波経験を持つ臨床医は,PFC評価のためにPsUSを効果的に使用することができます.
科学分野:
- 小児胃腸内科
- 医療用イメージング技術
- 診断ツール
背景:
- 小児機能性便秘 (PFC) は世界的な健康問題です
- PFCの正確な評価は効果的な管理に不可欠です.
- 現在の評価方法には,アクセシビリティと使いやすさの限界があるかもしれません.
研究 の 目的:
- 小児機能性便秘 (PFC) を評価するためのポケットサイズの超音波 (PsUS) の有用性を評価する.
- 主要な直腸パラメータ (直腸横径と直腸前壁の厚さ) の測定におけるPsUSの有効性を決定する.
- PFCの評価のためにPsUSを使用する専門医と初心者の間の合意を評価する.
主な方法:
- 4歳から14歳までの52人の子供 (28人のPFC患者,24人の対照群) を対象とした横断的な研究.
- 縦直腸直径 (TRD) と直腸前壁厚さ (RAWT) の測定は,従来の超音波 (US) とPsUSの両方を用いて行われました.
- クラス内相関係数 (ICC) を用いて評価した. 診断の正確さは,受容器の動作特性 (ROC) 分析によって評価された.
主要な成果:
- 従来のUSとPsUSの測定では,経験豊富な臨床医と初心者の間で高い一致が見られた (ICCは0. 97から0. 99まで).
- PsUSは従来のUSと比較して強固な有効性を示し,TRDは0. 96,RAWTは0. 87のICCを示した.
- ROC分析は,PFCの特定においてPsUSの高い診断精度を示し,TRDでは0. 88,RAWTでは0. 91の曲線下領域 (AUC) を示した.
結論:
- ポケットサイズの超音波 (PsUS) は,小児機能性便秘 (PFC) を評価するための有効で信頼できるツールです.
- 前回の超音波検査経験に関係なく,臨床医はPsUSを効果的に利用することができます.
- この技術は,臨床実務におけるPFC評価の有望でアクセシブルな選択肢を提供します.
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