超声波作为中肠恶性转换的第一线调查:英国第三级中心的经验
R Meshaka1, G Leung1, M Easty1
1Radiology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK.
Clinical radiology
|November 25, 2023
概括
在怀疑中肠逆转时,过渡到超声第一方法是安全有效的. 这种途径成功诊断了婴儿的恶性转换,随着时间的推移改善了诊断的准确性.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 胃肠病学 胃肠病学
背景情况:
- 中肠恶性旋转是一种关键的先天性异常,需要及时诊断.
- 上部胃肠道光镜 (UGI) 是传统的成像方式.
- 开发高效准确的诊断途径对于儿科外科护理至关重要.
研究的目的:
- 评估初始22个月的经验,实施超声波-第一个途径可疑的中肠恶性旋转.
- 与UGI相比,评估超声波作为主要诊断工具的安全性和有效性.
主要方法:
- 一次回顾性搜索确定了1岁以下的婴儿,其成像显示有胆汁吐,恶性旋转或卷积的迹象.
- 对患者的病历和成像 (超声波和UGI) 进行了诊断和结局的审查.
- 收集了关于途径利用,诊断准确度和手术发现的数据.
主要成果:
- 超声波第一途径于2021年10月实施.
- 在101个符合条件的病例中,62%接受了超声波和UGI,75%优先接受超声波.
- 该途径诊断了88%的中肠恶性旋转病例,十二指肠可视化随着时间的推移显著改善.
结论:
- 在英国环境下,对于疑似中肠恶性旋转的超声波第一途径的过渡是可行的和有效的.
- 这种方法提供了一个安全可靠的替代方案,而不仅仅依赖于UGI.
- 持续的经验和培训可以进一步优化诊断性能.
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