疑似尾炎的 laparoscopic 手术后很少报告其他病理: 一个系统的审查和元分析
Siri Rønholdt Henriksen1, Jacob Rosenberg1, Siv Fonnes1
1Centre of Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Digestive surgery
|July 18, 2023
概括
对疑似尾炎的诊断性腹腔镜很少显示其他疾病. 3.5%的患者出现了意想不到的病理,1%的患者发现了尾恶性瘤.
科学领域:
- 手术诊断手术诊断手术诊断手术诊断手术诊断手术诊断
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 诊断性腹腔镜是疑似急性尾炎的常见程序.
- 在此过程中评估替代病理对于准确诊断至关重要.
研究的目的:
- 为了确定在疑似急性尾炎的诊断性腹腔镜检查期间发现的其他病理的发生率.
- 量化附录中意外发现率,包括恶性瘤的数量.
主要方法:
- 对27项涉及25547名患者的研究进行了系统审查和元分析.
- 纳入标准:怀疑尾炎的腹腔镜检查报告了他的病理学发现.
- 进行了敏感性分析,不包括较小的队列;证据的确定性以GRADE进行评估.
主要成果:
- 意想不到的病态的总比率为3.5% (95% CI 2.7-4.3),具有中等的确定性.
- 在1.0%的病例中 (95% CI 0.8-1.3%) 发现了尾恶性瘤,确定性很高.
- 其他发现包括良性尾病理 (34%),妇科病理 (5%) 和胃肠道病理 (4%).
结论:
- 在怀疑尾炎的诊断性腹腔镜检查期间,替代性组织病理学发现的发生率很低.
- 附录内的恶性病是罕见但重要的发现,发生在约1%的病例中.
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