"BATS"评分在预测胆固醇结石症患者胆囊结石患者中的有用性
Imdad Ali1, Raja Taha Yaseen2, Shoaib Ahmed Khan1
1Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, PAK.
Cureus
|August 28, 2023
概括
一个新的非侵入性BATS评分有效地预测了常见的胆道结石,减少了对危险的内镜手术的需要. 这个分数使用简单的测试来识别需要进一步调查胆固醇胆病的患者.
科学领域:
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
- 医疗信息学 医疗信息学
背景情况:
- 对于常见胆道 (CBD) 结石的内镜干预可能是侵入性的和昂贵的.
- 需要使用非侵入性方法来准确预测胆固醇胆病 (CL) 并避免不必要的程序.
研究的目的:
- 在中等概率的患者中确定CL的非侵入性预测因子.
- 开发和评估CL的预测模型的诊断准确性.
主要方法:
- 横截面研究涉及131名患有胆囊结石和中等CL概率的患者.
- 使用过腹腔超声波,辐射内镜超声波 (EUS) 和内镜逆行胆血管细胞造影 (ERCP).
- 应用单变量和多变量逻辑回归来识别预测因素;开发和验证了BATS评分.
主要成果:
- 高血清白血素 (>2 mg/dL),性酸酶 (>200 IU) 和扩张的CBD (>6 mm) 是显著的预测因素.
- 根据BATS得分,AUROC为0.98,敏感度为93.18%,诊断准确率为87.79%.
- 内部验证显示,BATS评分≥5实现了95.91%的CL诊断准确度.
结论:
- BATS评分是预测CBD石头的高度敏感和准确的工具.
- 这种非侵入性模型可以帮助指导有关进一步内镜干预的决策.
- 建议进行外部验证,以确认BATS评分的更广泛适用性.
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