使用CT KUB对怀疑结肠的临床显著尿病阳性率的评估
Toni Anderson1, Carla Hopper2, Eoin MacCraith2
1Tallaght University Hospital, Dublin, Ireland. toni.anderson@tuh.ie.
Irish journal of medical science
|August 5, 2023
概括
妇女不太可能通过CT KUB诊断结肠的结石. 这表明女性患者可能过度使用辐射,促使对成像实践进行重新评估.
科学领域:
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
背景情况:
- ,尿道和膀 (CT KUB) 的未增强低剂量计算机断层扫描是疑似的标准.
- 由于辐射暴露,监测CT KUB的诊断产量至关重要.
- 这项研究评估了CT KUB在急诊室怀疑患有结肠病的患者的诊断产量.
研究的目的:
- 为了评估CT KUB的诊断产量,怀疑结肠.
- 为了确定性别之间的诊断产量的潜在差异.
- 评估对辐射暴露的影响.
主要方法:
- 对500名因怀疑结骨而接受CT KUB的患者进行了回顾性审查.
- 数据收集时间为7个月 (2019年6月 - 2020年1月).
- 审查了临床信息和成像;进行统计分析.
主要成果:
- 阻塞尿路结石的整体阳性率为34%.
- 与男性 (48%) 相比,女性的阳性率明显较低 (19%).
- 在没有其他诊断的情况下,女性的阴性CT KUB扫描率更高 (62%).
结论:
- 女性比男性更不容易患有阻塞性尿病,CT KUB诊断为结肠.
- 这种差异并不能由女性更高的替代诊断率来解释.
- 临床医生应谨慎使用CT KUB在怀疑女性结肠时,因为潜在的不必要的辐射暴露.
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