在患有隔离性耳的儿科患者需要成像吗?
Zainab Balogun1, Tracy Cheng2, Amber D Shaffer3
1University of Pittsburgh School of Medicine, Department of Otolaryngology, 203 Lothrop St # 500, Pittsburgh, PA, 15213, USA.
International journal of pediatric otorhinolaryngology
|December 13, 2024
概括
图像检查很少在患有孤立耳的儿科患者中发现新的异常. 需要进一步的研究来确定何时推迟成像,优化儿童耳的护理和资源.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医学成像在儿科中的医学成像.
- 耳研究研究 耳研究
背景情况:
- 耳是儿童普遍存在的耳问题,严重程度各不相同.
- 儿童耳的诊断成像可能会产生相当大的医疗和经济成本.
- 儿童成像可能需要镇静剂,增加复杂性和负担.
研究的目的:
- 调查诊断为隔离性耳的儿科患者的成像使用频率.
- 确定这些患者的成像发现是否影响了临床管理.
- 为了评估儿童耳成像的诊断产量.
主要方法:
- 在266名患有耳的儿科患者 (0-22岁) 的回顾性病例系列.
- 除了耳之外,还有耳部病情的患者除外.
- 统计分析包括后勤回归和生存分析.
主要成果:
- 只有27.8%的儿科耳患者接受了CT/MRI.
- 在成像上发现异常的发现很少 (14.9%),很少发现新的异常.
- 脉动性耳声和偏头痛史增加了成像的可能性;其他因素与异常发现无关.
结论:
- 在患有隔离性耳的儿科患者中,成像很少显示出新的,临床上显著的异常.
- 需要进一步的研究,以指导在特定的儿科耳声队伍中推迟成像的决策.
- 在儿童耳诊断途径中优化资源利用是有必要的.
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