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骨下的体积;在儿科手术管理的客观指示
Luluh Alsughayer1,2, Abdullah Sindi3,4,5, Mohammed AlQuwayee6
1Department of Otolaryngology - Head and Neck Surgery, College of Medicine, King Saud University , Riyadh, Saudi Arabia. lulu.yousef.s@gmail.com.
概括
下骨 (SPA) 的管理是有争议的. 体积≥0.648毫升显著增加了手术干预的可能性,有助于对这种严重疾病的临床决策.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 医疗成像医学成像
背景情况:
- 骨下 (SPA) 具有显著的发病率和死亡率风险.
- 对SPA的最佳管理策略仍然是临床辩论的主题.
- 迅速干预对于有利的患者结果至关重要.
研究的目的:
- 确定影响SPA外科治疗的因素.
- 为了确定腹体积的门值,表明手术的必要性.
- 解决围绕SPA治疗方法的争议.
主要方法:
- 在沙特国王大学医学城 (2014-2023) 的SPA病例的回顾性审查.
- 对临床,实验室和计算机断层扫描 (CT) 特性进行分析.
- 应用统计方法,包括后勤回归和ROC分析,以确定手术干预的预测因素.
主要成果:
- 在54.84%的病例中使用了手术管理.
- 体积,部位置和类固醇使用与手术干预有关.
- 多变量分析证实瘤体积是唯一重要的预测因素 (OR=5.126,p=0.047).
- 一个SPA体积≥0.648毫升显示高灵敏度 (94.1%) 和特异性 (71.4%) 预测手术需要.
结论:
- 体积是SPA的手术管理中的关键决定因素.
- 对于SPA体积的0.648毫升的值强烈表明需要进行手术干预.
- 这一发现有助于优化SPA患者的治疗决策.
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