吐,pyloric质量和护理点的超声波:高性pyloric狭窄症的诊断测试准确性-一个元分析
Jeffrey Hom1, Samuel H F Lam2, Kristen M Delaney3
1Department of Pediatrics, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York; Department of Emergency Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
The Journal of emergency medicine
|September 18, 2023
概括
照顾点的超声波 (POCUS) 和触摸胆道质量对于在婴儿中诊断高胆道狭窄症非常准确. 吐是一个不太可靠的指标,显示较低的诊断测试措施.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像 诊断成像 诊断成像
- 婴儿健康 婴儿健康
背景情况:
- 过度缩小的胆道狭窄症 (HPS) 是六个月以下婴儿非胆道吐的常见原因.
- 对HPS的病史,体检和护理点超声波 (POCUS) 的诊断准确性以前没有进行过比较.
研究的目的:
- 系统地审查和比较POCUS的诊断测试准确性,pyloric质量的触摸,以及婴儿在HPS的吐史.
主要方法:
- 从1977年到2022年3月进行了系统的文献搜索.
- 用双变量分析评估了POCUS,触摸和吐的诊断准确性.
- 使用 QUADAS-2 工具评估了偏见.
主要成果:
- 在HPS检测方面,POCUS表现出高灵敏度 (97.7%) 和特异性 (94.1%).
- 试管体质的触摸显示了73.5%的灵敏度和高特异性 (97.5%).
- 吐的灵敏度为91.3%,但特异性较低 (60.8%). 无论是POCUS还是触摸,都有很高的阳性概率比率 (LR+).
结论:
- POCUS和胆囊质量的触摸是HPS的高度特定和可靠的诊断方法.
- 与POCUS和触摸相比,仅仅吐是HPS的不太准确的诊断指标.
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