细胞指数在预测儿童尾切除术后腹中的作用
Julio César Moreno-Alfonso1, Sharom Barbosa-Velásquez2, Ada Molina Caballero3
1Cirugía Pediátrica, Hospital Universitario de Navarra, España.
Revista espanola de enfermedades digestivas
|July 11, 2024
概括
像中性粒细胞与淋巴细胞比率 (NLR) 和血小板与淋巴细胞比率 (PLR) 这样的细胞指数可以帮助预测儿童的尾切除术后. 这些比率可能比传统的细胞计数更好地预测尾炎并发症.
科学领域:
- 儿科手术 儿科手术
- 炎症生物标志物 炎症生物标志物
- 诊断的准确性 诊断的准确性
背景情况:
- 手术后瘤使儿童中高达20%的晚期尾炎病例复杂化.
- 这些并发症增加了发病率,死亡率和住院时间.
- 需要预测工具来早期识别有风险的患者.
研究的目的:
- 评估中性粒细胞与淋巴细胞比率 (NLR) 和血小板与淋巴细胞比率 (PLR) 在预测尾切除术后 (PAA) 的诊断效用.
- 为了比较NLR和PLR的预测性能与传统的白细胞和中性细胞计数.
主要方法:
- 一项诊断研究包括2021-2022年间接受尾切除术的儿科患者 (<15岁).
- 分析了白细胞,中性粒细胞,NLR和PLR的手术前值.
- 在ROC曲线下的面积 (AUC) 评估了PAA与非PAA (NPAA) 组的每个参数的预测能力.
主要成果:
- 这项研究包括89名PAA和93名NPAA患者.
- NLR和PLR证明了对PAA的预测能力.
- 需要进一步分析以确定它们在标准细胞计数上的优越性.
结论:
- 细胞指数,特别是NLR和PLR,显示为预测儿科患者尾切除术后的有望因素.
- 这些比率可以作为有价值的辅助工具,用于识别患尾炎并发症风险较高的儿童.
- 进一步的研究可以验证它们在常规实践中的临床实用性.
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