超声波中非可视化尾儿童急性尾炎的预测因素:一项前性队列研究
Mohamed Zouari1,2, Asma Issaoui1,2, Manar Hbaieb1,2
1Research Laboratory "Developmental and Induced Diseases" (LR19ES12), Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Surgical infections
|December 6, 2023
概括
在疑似尾炎的儿童中,在超声波上,阿尔瓦拉多得分为6或更高,加上尾周脂肪回声性增加,可以准确地预测尾炎在尾不可视化时的急性尾炎. 低白细胞和C反应蛋白水平表明尾炎不太可能发生.
科学领域:
- 儿科放射学 儿科放射学
- 紧急医疗 紧急医疗
- 手术诊断手术诊断的使用方法
背景情况:
- 超声波对于在儿童中诊断急性尾炎 (AA) 是非常准确的.
- 对于AA的儿科超声波的一个常见挑战是无法想象尾.
- 预测因素是必要的,以指导管理,当附件是看不到.
研究的目的:
- 为了确定帮助儿童诊断AA的因素,当尾在超声波上无法可视化时.
- 在这个具有挑战性的子组中确定特定的临床和超声波发现的诊断效用.
主要方法:
- 在儿科急诊室进行前性研究 (2022年1月 - 2022年12月).
- 包括14岁以下的儿童怀疑AA和超声波上的非可视化尾.
- 临床和实验室数据的多变量逻辑回归分析.
主要成果:
- 106名儿童有非可视化尾;23.6%被诊断为AA.
- 阿尔瓦拉多评分≥6和增加的周尾脂肪回声性是AA的独立预测因素.
- 这些因素的结合为AA产生了100%的正预测值.
结论:
- 阿尔瓦拉多评分≥6和增加尾周脂肪回声性是非可视化尾儿童AA的关键独立预测因素.
- 这些因素的结合可以可靠地证实在这个人群中AA的诊断.
- 低白细胞计数和C反应蛋白水平使AA不太可能发生.
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