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儿科人口中阴性尾切除率:我们能否达到接近零的比率? 一个观察性研究研究
Yael Dreznik1,2, Maya Paran1,2, Carmel Sher1,2
1Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah-Tiqwa, Israel.
ANZ journal of surgery
|December 12, 2023
概括
儿科患者的阴性尾切除率 (NAR) 随着手术前成像使用的增加,显著下降至1.9%. 这表明,使用现代诊断工具实现低NAR是可行的.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 外科手术的结果
背景情况:
- 准确诊断急性尾炎可能是一个挑战.
- 由于成像的改进,负尾切除率 (NAR) 已经下降.
- 了解机构NAR趋势对于优化护理至关重要.
研究的目的:
- 为了评估儿科患者的阴性尾切除率.
- 分析随着时间的推移NAR的趋势.
- 为了确定与负尾切除相关的因素.
主要方法:
- 儿科患者 (<18岁) 进行尾切除术的回顾性队列研究 (2007-2021年).
- 收集的数据包括人口统计,实验室结果,成像,病理和结果.
- 分析的重点是尾切除术的病例,诊断为急性尾炎.
主要成果:
- 3937名儿科患者接受了尾切除术.
- 总体NAR为3.6%,在过去5年中大幅下降至1.9%.
- 在研究期间,手术前成像使用率从40%增加到近100%.
结论:
- 负尾切除率 (NAR) 低于2%可以通过广泛的手术前成像实现.
- 重复的临床评估和诊断测试可以进一步减少NAR.
- 可访问的成像技术在儿科尾炎病例中促进了较低的NAR.
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