灵活的标志镜在儿童胃肠道疾病的诊断中的实用性
Catalina Jaramillo1, Anna K Ermarth1, John S Collier1
1Pediatric Gastroenterology, University of Utah Health, Salt Lake City, USA.
灵活的半导体显微镜 (FS) 在儿童中对胃肠道疾病的诊断收益率很低. 这种儿科内镜很少改变患者的管理,这表明它不是一个有用的诊断工具.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜手术 进行内镜手术
- 诊断性收益率分析
背景情况:
- 灵活的半导体镜 (FS) 在儿科患者中用于诊断胃肠道疾病,如炎症性肠道疾病.
- 儿童群体中FS的诊断效用仍然不清楚.
研究的目的:
- 为了确定儿童灵活的西格莫显微镜的诊断产量.
- 评估FS发现对儿科队列患者管理的影响.
主要方法:
- 五年来354例儿科柔性半导体镜病例的回顾性审查.
- 分析包括指示,视觉和组织学发现,最终诊断和管理变化.
主要成果:
- 只有11.3%的病例显示异常的视觉发现和13.6%异常的组织学发现.
- 仅在9.6%的病例中,FS的异常发现导致了管理的改变.
- 功能性腹痛是非诊断性FS最常见的诊断,而结肠炎是诊断性FS最常见的诊断.
结论:
- 灵活的半导体显微镜在儿科患者中显示出有限的诊断产量.
- FS不被认为是一种有帮助的诊断干预,特别是在没有关心临床表现的儿童中.
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