在手臂重建之前,应该常规订购哪些测试? 一个德尔菲面板的结果
Christopher J Dy1, Alison L Antes2, Bryan A Sisk2
1Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
概括
外科医生们达成共识,对于创伤性臂损伤,电子诊断研究和MRI是常规需要的,但不是超声波. 需要对CT骨髓图与MRI精度进行进一步的研究.
科学领域:
- 神经外科 神经外科
- 外周神经手术 外周神经手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 创伤性手臂损伤 (BPI) 在患者评估和治疗方法中表现出显著的变化.
- 了解当前的诊断实践对于标准化护理至关重要.
研究的目的:
- 为了达成一致意见,在手术前对创伤性臂损伤的诊断测试的常规使用.
- 评估使用电诊断测试,超声波,MRI和CT骨髓学.
主要方法:
- 德尔菲方法是从5个美国学术医疗中心的10位经过董事会认证的外围神经外科医生使用的.
- 外科医生参与了调查和视频会议讨论,讨论了BPI病例的手术前诊断工作.
主要成果:
- 达成共识:在腕手术之前,应定期订购电诊断研究和MRI.
- 有共识反对经常使用超声波来评估臂.
- 在CT骨髓图的常规使用方面没有达成共识.
结论:
- 未来的研究应该比较CT骨髓图和MRI的诊断准确性,以评估BPI患者的部神经根完整性.
- 标准化手术前诊断协议可以改善患者管理.
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