血红蛋白度的诊断价值在儿童下部胃肠道出血中识别梅克尔的分流器
Miguel Couselo1, Vicente Ibáñez2, Beatriz Pemartín3
1Pediatric Surgery Department, Hospital Universitari i Politècnic La Fe, Av/Fernando Abril Martorell 106, 46026, Valencia, Spain. miguelcjerez@hotmail.com.
Pediatric surgery international
|December 28, 2024
概括
患有下胃肠道出血 (LGIB) 的儿童的低血红蛋白水平可以帮助诊断梅克尔分泌体 (MD). 这一发现有助于为儿科LGIB病例做出手术决定.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术诊断手术诊断的使用方法
- 血液学 血液学 血液学
背景情况:
- 儿童下胃肠道出血 (LGIB) 存在诊断方面的挑战.
- 梅克尔分歧管 (MD) 是LGIB的常见原因,需要准确的诊断.
- 区分MD与LGIB的其他原因对于适当的管理至关重要.
研究的目的:
- 为了评估血红蛋白度的诊断准确性,用于识别儿科患者的梅克尔分离器 (MD).
- 确定血红蛋白水平是否可以帮助LGIB儿童的手术决策.
主要方法:
- 儿科LGIB病例的回顾性队列研究 (2011-2021年).
- 确认了MD (MeckD) 和没有 (非MeckD) 的患者之间的血红蛋白水平和临床变量比较.
- 接收器操作特征 (ROC) 曲线分析,以评估MD的血红蛋白诊断性能.
主要成果:
- 与非梅克尔分离体组 (12.6 g/dL) 相比,梅克尔分离体组 (8.7 g/dL) 的血红蛋白水平明显较低.
- 血红蛋白度≤8.3g/dL显示高特异性 (≥99.01%) 和积极的概率比率 (≥35.8) 诊断MD.
- 在ROC曲线下的面积为0.91,表明强大的诊断性能.
结论:
- 血红蛋白度对儿童的梅克尔分离器具有显著的诊断价值.
- 低血红蛋白水平可以作为一个有价值的指标,用于指导儿科LGIB管理中的手术干预.
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