在预测尾炎和尾孔穿孔的超白血症的诊断准确性
Syed Yousaf Khalid1,2, Aiman Elamin2
1Urology, Letterkenny University Hospital, Letterkenny, IRL.
Cureus
|November 6, 2023
概括
升高的胆红素水平显著预测尾炎和尾孔隙. 这种简单,具有成本效益的测试有助于急诊外科医生诊断急性尾炎并确定穿孔风险.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 外科胃肠道外科手术
- 生物化学标记物 生物化学标记物
背景情况:
- 尾炎的诊断对于急诊外科医生来说至关重要.
- 超白血是已知的尾孔穿孔的预测因素.
- 胆红素在诊断急性尾炎中的作用需要进一步研究.
研究的目的:
- 评估超白血症作为急性尾炎的诊断因素.
- 评估比利鲁宾在识别尾孔的有用性.
主要方法:
- 对333名接受尾切除手术的患者进行了回顾性单中心研究.
- 血红素,白细胞计数 (WCC) 和C反应蛋白 (CRP) 水平的比较.
- 统计分析以区分正常,非穿孔和穿孔尾炎.
主要成果:
- 在25.53%的患者中存在高 bilirubinemia;70.59%的穿孔病例显示出高 bilirubin.
- 胆红素在非穿孔性尾炎和 (80.97%) 穿孔性尾炎方面表现出高特异性 (94.29%).
- 超白血症增加了穿孔尾炎的可能性超过10倍 (OR=10.21).
结论:
- 胆红素水平与尾炎和穿孔明显相关.
- 胆红素评估是一种简单,具有成本效益的急性尾炎诊断工具.
- 对于疑似尾炎病例,建议定期使用胆红素检测.
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