在儿童尾切除术中对尾的病理评估
Farzaneh Javanmard1, Yasin Hasanzadegan Sadegh2
1Department of Pathology, Urmia University of Medical Sciences, Urmia, Iran.
Archives of Iranian medicine
|May 1, 2024
概括
这项研究发现,11.3%的儿科尾切除术是负的. 年龄较小和女性性别与更高的阴性尾切除率有关,这凸显了急性尾炎诊断精度提高的必要性.
科学领域:
- 儿科手术 儿科手术
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 急性尾炎是最常见的急性腹部需要手术的原因.
- 及时准确地诊断尾炎至关重要,以尽量减少并发症.
- 本研究的重点是对儿童尾切除术的病理评估.
研究的目的:
- 确定儿科患者负尾切除术的发生率.
- 确定与负尾切除相关的预测因素.
- 评估急性尾炎的临床诊断工具的有效性.
主要方法:
- 进行了一项横截面描述性研究.
- 分析了234次儿科尾切除 (2021年3月至2022年3月) 的数据.
- 收集了人口统计,临床准和组织病理学数据,并在阳性和阴性尾切除组之间进行了比较.
主要成果:
- 11.3%的尾切除术是阴性,其中88.7%是阳性.
- 年龄较小 (8-14岁) 和男性性别与较低的阴性尾切除率相关 (P<0.001).
- 超声波显示了84%的灵敏度,79%的特异性和83%的整体诊断准确度.
结论:
- 显著的负面和意外尾切除的百分比发生在儿童身上.
- 考虑孕妇或医疗管理,特别是在女性和年幼儿童中,可能会减少负尾切除术.
- 需要改进的诊断策略来提高准确性,并防止急性尾炎的不必要手术.
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