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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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在手术前和手术后的外科医生诊断和病理发现的比较,自发性肠孔穿孔与死性肠球炎的比较
Olivia A Keane1, Goeto Dantes2, Valerie L Dutreuil3
1Department of Surgery, Emory University, Atlanta, GA, USA. okeane@emory.edu.
概括
自发性肠孔 (SIP) 和死性肠球炎 (NEC) 的诊断准确性显示了手术前,手术内和病理发现之间的中等一致性. 需要进一步的研究来提高这些新生儿疾病的诊断精度.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 自发性肠道穿孔 (SIP) 和死性肠球炎 (NEC) 是新生儿的危急情况.
- 准确的诊断对于及时和适当的管理至关重要.
- 肺上皮膜是这些病例中手术干预的常见指标.
研究的目的:
- 与最终的病理诊断相比,评估手术前和手术内评估的诊断准确性.
- 为了比较自发性肠孔 (SIP) 和死性肠球炎 (NEC) 之间的诊断一致性.
主要方法:
- 对125名体重小于1500克的新生儿进行了回顾性审查,这些新生儿接受了肺皮瘤治疗.
- 排除在诊断前为NEC接受医疗治疗的新生儿和仅用排水治疗的新生儿.
- 弗莱斯的卡帕分析评估了手术前,手术内和病理诊断之间的一致性.
主要成果:
- 在90.3%的病例中,手术前和手术后的诊断得到了同意.
- 术内和病理诊断显示71.1%的同意.
- 术前和病理诊断的同意率为75.2%,总体中度同意 (弗莱斯卡帕 = 0.55).
结论:
- 在新生儿的手术前,手术内和病理诊断中存在中等一致性.
- 为了提高SIP和NEC的诊断准确度,需要对其临床特征进行进一步的研究.
- 增强的诊断策略对于优化这些新生儿外科紧急情况的管理至关重要.
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