在肩膀关节整形手术的常规术前计算机断层扫描中偶然发现的比率
Daniel G Meeker1, Maria F Bozoghlian1, Taylor Den Hartog1
1Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Clinics in shoulder and elbow
|April 1, 2024
概括
在手术前的肩部CT扫描中,偶然发现是常见的,影响了近四分之一的患者. 其中一半的患者需要进一步的随访,指导整形外科医生在患者咨询中.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 先进的成像研究经常揭示偶然发现.
- 有限的数据存在于手术前肩关节整形手术计算机断层扫描 (CT) 中的偶然发现.
- 了解这些发现有助于骨科外科医生在患者咨询中.
研究的目的:
- 为了确定手术前肩部CT扫描中偶然发现的发生率.
- 评估这些偶然发现的推后续行动的速度.
- 为指导骨科外科医生在患者咨询中提供数据.
主要方法:
- 对617名接受手术前CT肩关节整形手术的患者 (2015-2021) 的回顾性评估.
- 放射学报告分析了偶然发现,按位置和系统分类.
- 确定发现的发病率和推的随访率.
主要成果:
- 在146名患者 (23.7%) 中发生了173个偶然发现.
- 肺部发现 (59%) 是最常见的,包括结节和粒状细胞疾病.
- 50%的偶然发现的患者被建议进行进一步的随访.
结论:
- 在手术前的肩部CT中,偶然发现是常见的,在近25%的患者中见到.
- 肺部发现构成了大多数偶然发现.
- 这些发现和随访率为骨科外科医生咨询提供了必要的数据.
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