预测尾切除术后偶然发现的尾瘤的因素:倾向性得分匹配分析
Sadettin Er1, Abidin Göktaş Goktas1, Sabri Özden Ozden2
1Department of Surgery, Ankara Bilkent City Hospital, Çankaya, Turkey.
The American surgeon
|February 22, 2025
概括
在尾炎的尾切除术期间预测尾瘤至关重要. 尾直径,缺乏壁增强和中性粒细胞数量是怀疑这些瘤的关键指标.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 尾瘤很罕见,在尾炎的尾切除过程中经常偶然发现.
- 早期检测和准确的诊断对于适当的患者管理至关重要.
研究的目的:
- 确定因尾炎而经历尾切除术的患者偶发尾瘤的预测因素.
- 开发一个模型,以提高对尾瘤的怀疑.
主要方法:
- 对5829名因尾炎而接受尾切除术的患者进行了回顾性分析.
- 倾向性得分匹配分析用于比较尾瘤 (n=74) 和良性病理 (n=274) 的患者.
- 评估临床和成像参数,包括尾直径,壁增强和中性粒细胞计数.
主要成果:
- 尾直径,尾壁缺乏对比度增强,中性粒细胞数量增加与尾瘤独立相关.
- 这些因素的组合在区分尾瘤时达到0.787的AUC.
- 瘤和良性病理组 (45.6岁与46.4岁) 的平均年龄相似.
结论:
- 尾直径,缺乏壁增强和中性粒细胞数量是尾瘤的有价值的预测指标.
- 这些因素可以帮助临床医生在尾炎的诊断工作期间怀疑尾瘤.
- 进一步的研究可能会验证这些发现并将其整合到临床决策工具中.
更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
204
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.3K
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
56
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
56
Appendicitis-I: Introduction
76
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
76
