怀疑贝克囊的超声波:临床价值有限的测试?
Mark Charnock1, Matthew Kinsella2, Annu Chopra1
1Sheffield Teaching Hospital NHS Foundation Trust, Northern General Hospital, Sheffield, UK.
Ultrasound (Leeds, England)
|February 5, 2024
概括
在后膝部胀时,对疑似贝克囊的超声波扫描是常见的. 然而,这项研究发现,在大多数没有红旗症状的病例中,扫描具有有限的临床价值,贝克囊是最常见的发现.
科学领域:
- 放射学 放射学是指放射学
- 整形外科 整形外科 整形外科
- 肌肉骨成像系统的成像
背景情况:
- 后部膝盖胀经常用超声波评估,以诊断贝克囊.
- 对于疑似贝克囊的常规超声波的临床实用性需要进一步调查.
研究的目的:
- 确定疑似贝克囊的超声波患者中各种病理的发生率.
- 评估超声波发现对后膝胀患者管理的影响.
主要方法:
- 在2017年1月至2018年12月期间,对680名患者进行后膝盖超声波的回顾性分析.
- 收集的数据包括患者人口统计,超声检查结果,随后的成像和组织病理学.
- 在超声波后,患者记录被跟踪了至少3年.
主要成果:
- 贝克囊在51%的患者中被发现;40%的扫描正常.
- 在9%的患者中发现了其他形的异常.
- 只有四名患者 (不到1%) 发现了需要改变治疗方法的重大发现;没有发现恶性瘤.
结论:
- 在膝盖后部胀的患者中,贝克囊的高发病率得到证实.
- 对临床怀疑贝克囊的超声波,在没有红旗症状的情况下,具有有限的临床价值.
- 在特定的临床场景中,可能需要进一步评估民腔病理.
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