通过不同的镜头:对拉皮镜和附录的组织病理学评估之间的协议的回顾性分析
Christine-Bianca Hanganu1, Sanad Isswiasi2, Abiodun Adigun3
1General Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Cureus
|July 31, 2024
概括
laparoscopic 尾切除术诊断与一般异常和炎症的病理密切相匹配. 然而,外科医生可能会错过罕见的尾癌,这强调了需要进行常规的组织病理学,以确保准确的诊断和最佳的患者结果.
科学领域:
- 一般外科 整体外科
- 手术病理学手术病理学
- 诊断的准确性 诊断的准确性
背景情况:
- 尾切除术是一种常见的紧急整体外科手术程序.
- 在手术内腹腔镜诊断和组织病理学报告之间存在差异.
- 常规组织病理学检查是英国对尾样本的标准实践.
研究的目的:
- 为了将尾的手术内腹腔镜评估与组织病理学发现进行比较.
- 在英国评估腹腔镜尾切除术的诊断准确性.
- 确定尾疾病的外科和病理诊断之间的一致性.
主要方法:
- 对418例紧急腹腔镜尾切除术的回顾性分析.
- 在英国彼得堡市医院进行的研究 (2018年4月 - 2019年6月).
- 使用kappa统计数据对手术内发现与组织病理学结果进行比较.
主要成果:
- 外科医生和病理学家之间对于整体尾异常 (kappa = 0.71) 和炎症尾 (kappa = 0.72) 的高度一致.
- 在这两个类别中都观察到统计学上显著的一致性 (P < 0.001).
- 在6个瘤病变中,只有2个被怀疑在手术期间发生,这表明瘤的检测不足最佳.
结论:
- 腹腔镜评估显示,在检测异常和炎症尾时,与组织病理学有显著一致.
- 外科医生在腹腔镜检查过程中识别尾瘤的能力似乎不够理想.
- 尾切除术后的常规组织病理学检查对于避免错过诊断和改善患者结果至关重要.
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