术前成像对阴性尾切除率的影响
Jamal Dirie1, Humza Suleman1, Hussain Karimjee1
1General Surgery, Royal Surrey NHS Foundation Trust, Guildford, GBR.
Cureus
|August 14, 2023
概括
术前成像并没有显著降低整体负尾切除率 (NAR),但它确实降低了成年患者的NAR. 需要对年轻患者的成像进行进一步的研究.
科学领域:
- 外科手术 手术手术
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 尾炎是急性腹痛的常见原因,尾切除术是常见的外科手术.
- 增加放射性成像的使用旨在减少负尾切除率 (NAR).
研究的目的:
- 评估术前成像对阴性尾切除率 (NAR) 的影响.
主要方法:
- 在实施一条强调术前成像 (CT或超声波) 的途径之前和之后,对两段一年的紧急尾切除术的回顾性分析.
- 从病房日志和IT数据库收集的数据,包括患者人口统计数据,手术日期和成像结果.
- 组织学发现被分类为阳性 (炎症或恶性尾) 或阴性.
主要成果:
- 整体NAR保持稳定,在最初期为17%,在随后期为16%.
- 在成年人群 (21岁以上) 中,在实施途径后,NAR从13%降至9%.
- 年轻患者没有显著的NAR减少,可能是由于证明CT辐射或较低超声波灵敏度的挑战.
结论:
- 术前成像,特别是CT,对成人患者减少NAR产生了积极影响.
- 目前用于减少儿科人口中NAR的成像策略的有效性需要进一步研究,并可能考虑MRI.
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