在技术进步中强调急性尾炎的临床诊断
Katie Wang1, Munyaradzi G Nyandoro2, Mary Teoh2
1General Surgery, Sir Charles Gairdner Hospital, Perth, AUS.
Cureus
|July 3, 2024
概括
临床诊断急性尾炎 (AA) 的准确性与成像技术相美. 快速成像使用并没有显著延迟手术,强调需要平衡技术与临床专业知识.
科学领域:
- 医疗成像医学成像
- 手术诊断手术诊断的使用方法
- 尾炎研究 尾炎研究
背景情况:
- 急性尾炎 (AA) 的临床诊断存在诊断挑战.
- 技术进步需要重新评估诊断疗效.
- 这项研究评估了临床诊断与放射学辅助方法和负尾切除率 (NAR) 的临床诊断.
研究的目的:
- 为了比较临床评估与急性尾炎放射学的诊断准确性.
- 评估诊断方法对阴性尾切除率的影响.
- 在疑似尾炎病例中分析手术延迟和手术内诊断准确度.
主要方法:
- 单中心回顾性和前性队列观察性研究,对疑似AA的成年患者进行.
- 审查临床,病理学,放射学和手术报告.
- 使用SPSS v.27进行统计分析,以比较诊断结果和NAR.
主要成果:
- 临床诊断准确度 (83.5%) 与超声波 (USS) 诊断的病例 (82.5%) 没有显著差异.
- 计算机断层扫描 (CT) 显示了最高的积极预测值 (82.1%).
- 总体NAR为18.6%;单模成像没有显著延迟手术,而多模成像显示延迟的趋势.
结论:
- 临床诊断的准确性与当前急性尾炎的成像技术相当.
- 适当及时使用诊断成像不会导致显著的外科手术延迟.
- 未来的实践应该平衡技术采用与必要的临床诊断技能.
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