修改后的系统性炎症评分可以预测复杂的尾炎吗?
Enver Okan Hamamci1, Sadettin Er1, Tezcan Akin1
1Department of General Surgery, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 5, 2023
概括
修改系统性炎症评分 (mSIS) 可以预测术前复杂的尾炎. 这一分数是从常规实验室检测中计算出来的,有助于区分严重的尾炎和简单的尾炎.
科学领域:
- 手术诊断手术诊断手术诊断手术诊断手术诊断手术诊断
- 炎症标志物是一种炎症标志物.
- 胃肠道手术 胃肠道手术
背景情况:
- 急性尾炎是一种常见的手术紧急情况.
- 在手术前区分复杂和非复杂的尾炎对于治疗计划至关重要.
- 修改系统性炎症评分 (mSIS) 是这种差异化的一个潜在工具.
研究的目的:
- 评估修改系统性炎症评分 (mSIS) 在术前区分复杂和非复杂的急性尾炎的疗效.
- 评估mSIS对复杂尾炎的预测价值.
主要方法:
- 一项观察性研究包括2584名被诊断患有急性尾炎的成年患者.
- 根据手术和病理发现,患者被分为复杂 (,穿孔,或) 和不复杂的组.
- 修改后的系统性炎症评分 (mSIS) 是使用白蛋白水平和淋巴细胞与单细胞比率 (LMR) 来计算的.
主要成果:
- 修改系统性炎症评分 (mSIS) 在33.6%的病例中为0,在66.4%的病例中为1-2.
- 在0和1-2的mSIS值 (p=0.03) 之间观察到统计学上显著的差异.
- mSIS 1-2在预测复杂尾炎方面显示了85%的灵敏度和42%的特异性,其概率是1.48倍.
结论:
- 修改系统性炎症评分 (mSIS) 可以使用常规实验室参数在手术前进行计算.
- mSIS是预测复杂尾炎的宝贵工具,有助于术前分化.
- 简单的mSIS计算可以帮助识别复杂尾炎患者.
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