系统性免疫炎症指数在识别复杂急性尾炎病例中的诊断价值

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Mehmet Sait Berhuni¹, Hüseyin Yönder¹, Hasan Elkan¹

¹General Surgery, Harran University, Şanlıurfa, TUR.

Cureus

|December 6, 2024

概括

系统免疫炎症指数 (SII) 可以帮助在手术前预测复杂的急性尾炎 (CAA). 较高的SII值表明尾炎复杂的可能性更高,有助于诊断.

科学领域:

医学诊断医学诊断医学诊断
炎症标志物是一种炎症标志物.
手术病理学的外科病理学

背景情况:

系统性免疫炎症指数 (SII) 是一个新兴的预后工具.
诊断急性尾炎 (AA) 可能具有挑战性,特别是区分复杂的病例.
术前评估对于复杂急性尾炎 (CAA) 的有效管理至关重要.

研究的目的:

评估系统性免疫炎症指数 (SII) 在术前诊断复杂急性尾炎 (CAA) 的有效性.
要确定SII是否能区分复杂和非复杂的急性尾炎.

主要方法:

在2021年1月至2023年12月期间,对441名急性尾炎 (AA) 手术的患者进行了回顾性分析.
病例被归类为复杂的急性尾炎 (CAA) 或非复杂的急性尾炎 (NCAA) 基于他的病理学发现.
分析了手术前的数据,包括SII,阿尔瓦拉多评分 (AS),中性粒细胞与淋巴细胞的比率 (NLR) 和C反应蛋白 (CRP).

主要成果:

总共有441名患者被分析,其中109名 (24.72%) 患有CAA.
在CAA组中,SII,AS,NLR和CRP水平显著更高 (p < 0.001).
对于检测CAA,SII显示了0.624的灵敏度和0.607的特异性,截止值为1445.

结论:

系统性免疫炎症指数 (SII) 显示了作为复杂急性尾炎 (CAA) 的手术前诊断标志物的潜力.
除其他炎症标志物外,SII可以帮助区分CAA和NCAA.
对SII的切线值为1445,可能有助于临床医生在手术前识别复杂尾炎病例.

关键词:

急性尾炎是什么情况复杂的急性尾炎.发生瘤性尾炎.穿孔性尾炎的情况质尾炎是一种尾炎.系统性免疫炎症指数

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