用简单的X射线图 (KUB) 来评估具有意义的便缺陷在患有下泌尿道功能障碍的患者中的评分系统
Young Jae Im1,2, Kyeong Chae Lee2, Su Been Lee2
1Department of Pediatric Urology, Seoul National University Children's Hospital, Seoul, Korea.
Investigative and clinical urology
|July 9, 2024
概括
使用脏,尿道和膀 (KUB) X射线的新评分系统可以客观地识别患有肠膀疾病 (BBD) 的儿童的便冲击 (FI). 这有助于诊断BBD和指导治疗下泌尿道功能障碍 (LUTD).
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 肠道膀疾病 (BBD) 的管理往往缺乏客观证据,依靠主观的便秘评估.
- 下尿道功能障碍 (LUTD) 可能与便阻塞 (FI) 相关,需要客观的诊断工具.
研究的目的:
- 为了确定BBD患者的放射性发现.
- 在治疗前开发一个评分系统,用于在BBD患者中客观地识别FI.
主要方法:
- 45名LUTD患者接受了聚乙烯甘醇,然后根据反应分为LUTD-FI和LUTD-NFI组.
- 治疗前/后的脏,尿道和膀 (KUB) 的X射线被分析,以发现显著的放射性变化.
- 使用显著参数开发了一个评分系统,并评估了它的准确性和评分机构之间的一致性.
主要成果:
- 在治疗后观察到腹扩张,下降的结肠扩张,便质量和雾的显著变化.
- 创建了一个评分系统 (0-8分);截止值5显示79%的灵敏度和88%的特异性来识别LUTD-FI.
- 当由独立的临床医生进行测试时,评分系统显示了实质性的评审者间一致性 (κ=0.79).
结论:
- 一个基于KUB的便评分系统有效地识别了儿童的LUTD归因于FI.
- 该系统为诊断BBD提供了主观便秘评估的客观替代方案.
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