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在诊断膀肠道功能障碍时,KUB是否起作用?

Alexandra R Siegal¹, Megan Paul¹, Neha R Malhotra²

¹Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Journal of pediatric urology

|November 15, 2023

概括

尿管膀放射 (KUB) 在患有膀和肠道功能障碍 (BBD) 的儿童中对便秘的诊断价值有限. 超声波上的直肠直径是一种可行的,无辐射的替代方案,用于评估儿科患者的便负担.

科学领域:

儿科泌尿外科儿科泌尿外科
诊断成像诊断成像诊断成像
胃肠病学胃肠病学

背景情况:

尿管膀放射 (KUB) 经常用于评估患有膀和肠道功能障碍 (BBD) 的儿童的便秘.
由于儿童的辐射暴露,特别是那些需要重复成像的儿童,人们对常规KUB使用存在担忧.
支持KUB对BBD的常规诊断实用性的证据是可变的.

研究的目的:

评估KUB在患有BBD的儿童的诊断效用.
将KUB的有效性与四种经过验证的仪器进行比较:功能障碍排便症状得分 (DVSS),罗马IV标准,超声波上的直肠直径 (RD) 和布里斯托尔便形式得分 (BSFS).

主要方法:

有BBD症状的儿科患者的潜在招生.
在KUB上评估便负担的严重程度,在超声波上评估RD,DVSS,罗马IV标准和BSFS.
两变量和多变量回归分析以确定与KUB发现的预测关联.

主要成果:

超声波 (RD) 上的直肠直径被发现可以预测KUB上重要的便负担 (p=0.03).
没有其他个人诊断测试能够预测KUB便负担.
多变量分析表明,评估的测试组合没有预测KUB发现.

结论:

超声波上的直肠直径可以作为KUB的非辐射替代品,用于评估BBD儿童的便负担.
KUB在诊断BBD方面发挥的作用有限.
症状评分 (DVSS,Rome IV,BSFS) 应独立地用于BBD的诊断和治疗监测.

关键词:

膀肠道功能障碍是什么意思便秘便秘便秘便秘图像成像是一种成像.失禁失禁是一种失禁.下泌尿道的症状下泌尿道的症状辐射辐射辐射辐射是什么超声波超声波是指超声波的使用.

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