在急性尾炎中,超声波辅助和手术内直径测量的比较
Y Doruk Bilgili1, B Haluk Güvenç2
1Department of Pediatric Surgery, Bandırma Onyedi Eylül University, Balıkesir, Turkey.
Clinical anatomy (New York, N.Y.)
|September 19, 2024
概括
在患有尾炎的儿童中,尾直径的超声波和手术内测量显示出相关性. 然而,仅仅使用超声波尾直径进行诊断,特别是像6mm这样的门,对于准确的急性尾炎诊断仍然存在争议.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 胃肠病学 胃肠病学
背景情况:
- 准确诊断儿童急性尾炎至关重要,以避免消极或穿孔尾切除术.
- 放射性评估,特别是超声波,经常被使用,但由于操作员的经验和解剖学变异,可能存在局限性.
- 放射学发现和手术内结果之间的差异需要进一步调查诊断准确性.
研究的目的:
- 在被诊断为急性尾炎的儿科患者中,通过手术前超声波和手术内针获得的尾形人体测量结果进行比较.
- 为了评估基于超声波的尾直径测量的诊断准确性,与其他的病理学发现相比.
- 评估在诊断尾炎时超声波和手术内测量的相关性.
主要方法:
- 这是一项前性研究,涉及53名为疑似急性尾炎进行尾切除的儿科患者.
- 在三个解剖部位测量外附录直径,使用手术前超声波和手术内维尼尔口径.
- 根据他的病理学,将尾切除标本分为负性,急性和复杂的尾炎.
- 为了诊断准确度,统计分析最宽的中间尾直径.
主要成果:
- 组织病理学分析证实了15.1%的尾切除,66%的急性尾炎和18.8%的复杂尾炎.
- 用口径测量的尾直径中位数为7.8 ± 2.4毫米,用超声波测量为7.9 ± 2.7毫米 (p > 0.05),表明相关性很好.
- 超声波在20.8%的病例中未能检测到尾炎,后来通过组织病理学证实了这一点.
- 显著数量的负尾切除样本 (8例) 的尾直径为7mm或更大.
结论:
- 尾直径的超声波和手术内人类测量测量显示,在儿科患者中存在显著的相关性.
- 仅依赖超声波尾直径的诊断准确性,特别是超过6毫米的门值,是有争议的,可能导致误诊.
- 进一步的研究和对人体测量测量以及本病理学结果的重新解释对于减少负尾切除和穿孔尾切除至关重要.
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