在识别儿科患者的结肠动性时,左侧结肠测量仪的诊断产量
Lev Dorfman1, Khalil El-Chammas1,2, Omar Brijawi1
1Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Neurogastroenterology and motility
|February 16, 2024
概括
有限的左结肠计量 (CM) 可以有效地识别大多数儿科便秘患者的运动障碍. 完整的CM是必要的,对于那些有cecostomy诊断上升的结肠不运动.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断程序 诊断程序 诊断程序
- 运动性障碍 运动性障碍
背景情况:
- 结肠力测 (CM) 对于评估难治性便秘至关重要.
- 导管放置的挑战可能会限制CM的诊断范围.
- 评估有限左CM的实用性是必不可少的.
研究的目的:
- 为了评估有限的左结肠测量 (CM) 在儿科患者的诊断价值.
- 为了确定左CM在识别结肠运动障碍时的灵敏度.
主要方法:
- 在第三级儿科中心对CM研究 (2019-2022) 的回顾性审查.
- 包括异常的CM研究,其中的导管尖端在阴或上升结肠.
主要成果:
- 左CM表现出91.2%的诊断灵敏度,用于动力障碍.
- 当排除了经过切割术的患者时,灵敏度增加到100%.
- 细分性动力障碍,特别是在下降性/三角形结肠中,是最常见的.
结论:
- 左CM是一种敏感的工具,用于诊断小儿便秘患者的结肠运动障碍,而不是切科.
- 这些发现为CM期间远端导管位移提供了保证.
- 由于高上升的结肠不运动性患病率,切科斯托米患者需要完整的CM.
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