超声波上尾部的部分可视化:在怀疑尾炎的孩子身上意味着什么?
Pradipta Debnath1, Andrew T Trout2, Rama S Ayyala3
1Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States of America.
Clinical imaging
|May 16, 2024
概括
在超声波中对尾部的不完全可视化并不会增加错过尾炎的风险. 部分或非可视化带有类似的尾炎率,强调需要仔细解释超声检测结果.
科学领域:
- 诊断成像 诊断成像 诊断成像
- 医学超声波 医学超声波
- 腹部放射学 腹部放射学
背景情况:
- 整个尾的超声可视化对于排除尾炎至关重要.
- 之前的研究并没有明确证明完整尾可视化的重要性.
研究的目的:
- 为了调查是否超声波上尾部的不完全可视化具有负面的临床结果.
- 为了确定错过尾炎的病例是否与尾的非可视化或部分可视化相关.
主要方法:
- 对右下象限超声报告的回顾性审查 (2017年1月至2020年12月).
- 基于对尾的完全可视化,部分可视化和非可视化的尾炎频率的分析.
- 与后续成像,手术和病理学报告的相关性.
主要成果:
- 完全可视化的尾炎率为0.8%,没有二次发现的非可视化率为5.3%,没有二次发现的非可视化率为54.3%.
- 没有二次发现的部分可视化 (4.9%) 与没有二次发现的非可视化 (p=0.797) 显示出类似的尾炎率.
- 带有次要发现的部分可视化 (54.7%) 与带有次要发现的非可视化 (p=0.953) 相似的尾炎率.
结论:
- 超声波上部分尾视觉化与完全非视觉化的类似尾炎频率有关.
- 在考虑二次发现时,不完整的可视化似乎不会对尾炎的诊断产生负面影响.
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