儿科尾炎评分 (PAS) 方法的准确性评估,以区分非特异性腹痛与尾炎
Roya Raeisi1, Mona Azizi1, Jalaleddin Amiri1
1Department of Pediatrics, Hamadan University of Medical Sciences, Hamadan, Iran.
International journal of preventive medicine
|June 23, 2023
概括
儿科尾炎评分 (PAS) 准确诊断儿童的尾炎,将其与非特异性腹痛区分开来. 这种评分方法可以显著减少负尾切除术.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 手术诊断手术诊断手术诊断手术诊断手术诊断手术诊断
- 评估腹部疼痛的情况.
背景情况:
- 尾炎是儿童常见的手术紧急情况.
- 准确的诊断至关重要,以避免延迟和不必要的手术.
- 非特异性腹痛 (NSAP) 是一个诊断挑战.
研究的目的:
- 评估儿科尾炎评分 (PAS) 的诊断准确性.
- 评估PAS在区分尾炎与NSAP以及儿童其他腹部疼痛原因方面的能力.
- 为了确定PAS是否可以降低负尾切除率.
主要方法:
- 一项涉及391名疑似尾炎的儿童的横截面研究.
- 收集的数据包括儿科尾炎评分 (PAS),C反应蛋白 (CRP) 和外科病理学结果.
- 在尾炎,特定非尾炎腹痛和NSAP组中比较了临床和实验室发现.
主要成果:
- 尾炎组显示显著更高的CRP,疼痛迁移到RLQ,RIF疼痛,厌食症,白细胞瘤和中性粒细胞数量 (p=0.001).
- 在诊断尾炎时,PAS表现出高灵敏度 (0.929) 和特异性 (0.993).
- 与临床检查相结合的PAS可以将负尾切除率降低到<1%.
结论:
- 该PAS是非常准确的诊断儿科尾炎和区分它从NSAP.
- 该PAS系统有效地减少了负尾切除.
- 虽然CRP是有用的,但PAS在儿童尾炎的诊断准确度更高.
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