儿童阴性尾切除率的趋势和预测因素:单中心回顾性研究
Miro Jukić1,2, Petra Nizeteo1, Jakov Matas1
1Department of Surgery, School of Medicine, University of Split, Šoltanska 2, 21000 Split, Croatia.
Children (Basel, Switzerland)
|May 27, 2023
概括
儿童的10年阴性尾切除率为12.4%,在10-15岁的女孩中比率更高. 使用先进的成像技术,如CT扫描,可以减少儿科负尾切除术.
科学领域:
- 儿科手术 儿科手术
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 尾切除仍然是急性尾炎的标准治疗方法.
- 尽管诊断方面取得了进展,但消极尾切除术的高率仍然存在.
- 这项研究调查了与儿科患者负尾切除术相关的因素.
研究的目的:
- 为了确定18岁以下儿童的阴性尾切除率.
- 分析与负尾切除相关的人口和临床因素.
- 确定减少负尾切除率的潜在策略.
主要方法:
- 对1646例儿科尾切除术 (2012-2021) 的回顾性单中心研究.
- 分析患者的人口统计,BMI,实验室标记,评分系统 (Alvarado,AIR) 和超声报告.
- 审查了组织病理学报告,以确认负尾切除术.
主要成果:
- 在10年内,阴性尾切除率为12.4% (205/1646).
- 阴性尾切除术在10-15岁的女孩中更为频繁 (p < 0.0001).
- 阴性尾切除术的男性患者的BMI更高 (p = 0.0004);在寒冷的月份发生率更高 (p = 0.042).
结论:
- 阴性尾切除术主要发生在老年女性儿童 (10-15岁) 中.
- 阴性尾切除术的女性儿童的BMI比男性低.
- 增加CT扫描的使用可能会降低儿科阴性尾切除率.
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