超声波或放射检查疑似儿科远端前臂骨折的情况
Peter J Snelling1, Philip Jones1, David Bade1
1From the School of Medicine and Dentistry and Menzies Health Institute Queensland (P.J.S., P.J., R.B., M.D., S.G., G.K., R.S.W.) and the Centre for Applied Health Economics, School of Medicine and Dentistry (J.B.), Griffith University, the Departments of Emergency Medicine (P.J.S., S.G., G.K.) and Orthopaedics (R.B.) and the Children's Critical Care Unit (S.G.), Gold Coast University Hospital, and the Sonography Innovation and Research (Sonar) Group (P.J.S.), Southport, the Child Health Research Centre, University of Queensland, Brisbane (P.J.S., S.G.), the Departments of Orthopaedics (D.B.) and Emergency Medicine (M.M.), Queensland Children's Hospital, South Brisbane, the Department of Emergency Medicine, Sunshine Coast University Hospital, Birtinya (M.D.), and the Faculty of Health Sciences and Medicine, Bond University, Gold Coast (G.K.) - all in Queensland, Australia.
超声波像放射学一样有效,用于诊断儿童前臂骨折,在4周后显示类似的手臂功能. 这项研究支持使用超声波作为小儿前臂损伤的初始成像工具.
科学领域:
- 儿科整形外科 儿科整形外科
- 诊断成像 诊断成像 诊断成像
- 紧急医疗 紧急医疗
背景情况:
- 有限的数据存在于超声波的疗效与X射线相比,用于初步前臂骨折诊断在儿科患者.
- 评估随后的身体功能对于评估前臂受伤儿童的成像方法至关重要.
研究的目的:
- 为了确定在儿童和青少年前臂骨折的初始诊断中,护理点超声波是否与放射学无差.
- 为了比较两个成像组之间的受伤后4周受伤手臂的身体功能.
主要方法:
- 进行了一项开放的,多中心的,非劣势随机试验,包括270名年龄在5至15岁的参与者,他们呈现出远端前臂损伤.
- 参与者被随机分配,接受初始的护理点超声波或放射,结果在8周内进行评估.
- 主要结局是4周后手臂的身体功能,通过儿科上肢短患者报告结果测量信息系统 (PROMIS) 评分进行测量.
主要成果:
- 超声波检查的结果与放射检查的结果不相差,平均PROMIS分数分别为36.4和36.3 (平均差异为0.1;95% CI,-1.3至1.4).
- 治疗意向分析证实了这些发现,显示身体功能没有显著差异.
- 没有错过任何临床意义上的骨折,各组的不良事件相似.
结论:
- 超声波是一种可行的和有效的初始诊断成像方法,用于儿科远程前臂损伤,与放射学相似.
- 这些发现支持在紧急情况下使用超声波来评估儿童和青少年前臂骨折,确保类似的功能结果.
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