在内牙诊断中围牙X射线评估的局限性 - - 一项系统性审查
Alexandru Gliga1,2, Marina Imre3, Simone Grandini2
1Department of Operative Dentistry, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Journal of clinical medicine
|July 29, 2023
概括
周围牙X射线通常是不准确的诊断周围牙囊在内牙治疗. 组织病理学是黄金标准,大多数研究表明X射线无法可靠地诊断这些病变.
科学领域:
- 牙周内诊断诊断 牙周内诊断
- 口腔辐射学 口腔辐射学
- 组织病理学 组织病理学
背景情况:
- 准确的诊断在内牙治疗中至关重要.
- 内口内牙放射学,特别是围牙X射线,在诊断准确性方面存在局限性.
- 基于X射线外观的传统诊断周周囊的方法可能导致误诊和不必要的干预.
研究的目的:
- 批判性地评价出版物,比较组织学诊断 (黄金标准) 与对周围病变的口内X射线成像.
- 为了评估在诊断腹膜囊时腹膜X射线的可靠性.
主要方法:
- 系统审查英语语言研究.
- 搜索的数据库:奥维德医学线,PubMed,科学直播,门德利,Scopus.
- 包括比较组织病理学和周周X射线诊断的研究;分析了16篇文章.
主要成果:
- 在包括的16项研究中,只有两项研究支持通过周周成像对周周诊断的连贯评估.
- 多个出版物驳斥了使用周周X射线诊断周周囊的能力.
- 证据不足以得出明确的结论,但反对X射线用于囊诊断的可靠性.
结论:
- 周周X射线在诊断周周病变,特别是囊方面具有有限的准确性.
- 组织病理学检查仍然是确定诊断的黄金标准.
- 需要进一步的研究,但当前的证据表明,当仅依靠周周成像来诊断囊时,需要谨慎.
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