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皮肤通道排水在确定脊髓瘤炎患者的致病微生物的有用性:一项回顾性横截面研究
Shoichi Ikenaga1, Daisuke Yunaiyama1, Mika Yasutomi1
1Department of Radiology, Tokyo Medical University, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Journal of the Belgian Society of Radiology
|July 17, 2023
概括
通过CT指导的皮肤疏通可以有效地检测脊髓炎患者的致病微生物,即使在使用抗生素后也是如此. 与传统的血液培养相比,这种方法的检测率更高,用于诊断这种骨感染.
科学领域:
- 医疗成像医学成像
- 传染性疾病 传染性疾病
- 干预性放射学 干预性放射学
背景情况:
- 诊断脊髓瘤炎可能具有挑战性,特别是当患者先前接受过抗生素治疗时.
- 准确识别致病微生物对于有效治疗脊髓脊髓炎至关重要.
研究的目的:
- 评估CT引导的皮肤间排水的诊断实用性,用于识别脊髓瘤炎中的微生物.
- 为了比较CT指导的皮肤通排水与脊髓炎患者的血培养中的微生物检测率.
主要方法:
- 在2014年1月至2022年4月期间,对30名脊髓炎患者进行CT引导皮肤通排水 (CTPD) 的回顾性分析.
- 在血液培养和CTPD之前对抗生素施用率的分析.
- 微生物检测率的比较使用曼-惠特尼U测试.
主要成果:
- 通过血培养检测微生物的水平较低 (7%) 在先前接受过抗生素治疗的患者.
- 在预先治疗的患者中,CT引导的皮肤通排水实现了高检测率 (76%).
- 总的来说,CTPD在92%的病例中检测到致病微生物,显著优于血培养 (P = 0.004).
结论:
- 通过CT指导的皮肤疏通是一种高度有效的方法,用于检测脊髓瘤炎中的微生物.
- 通过CT指导的皮肤间排水对于诊断脊髓炎有价值,特别是在已经接受了抗生素的患者中.
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