鉴定复杂急性尾炎的预测因子:一项从一家大型医院进行的回顾性队列研究
Rui Li1, Xu Sun1, Zhiyuan Yu1
1School of Medicine, Nankai University, Tianjin, China; Medical School of Chinese PLA, Beijing, China; Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
American journal of surgery
|April 5, 2025
概括
本研究确定了在手术前区分复杂和不复杂的急性尾炎 (AA) 的关键因素. 预测模型有助于临床医生更好地诊断AA并改善患者护理.
科学领域:
- 医学研究 医学研究
- 手术诊断手术诊断手术诊断手术诊断手术诊断手术诊断
- 临床预测模型的临床预测模型.
背景情况:
- 急性尾炎 (AA) 是导致急性腹痛的主要原因,每10万名成年人中有多达100人受到影响.
- 精确的手术前区分复杂和无复杂的AA仍然是一个临床挑战.
研究的目的:
- 开发一个预测模型,以分辨术前复杂和非复杂的急性尾炎.
- 确定与复杂的AA相关的关键临床和病理因素.
主要方法:
- 对1196名急性尾炎患者的回顾性分析.
- 单变量和多变量逻辑回归分析,以确定复杂的AA的预测因素.
主要成果:
- 在38.9%的患者中发现了复杂的AA.
- 复杂的AA的预测因素包括男性性别,年龄较大,腹痛持续时间较长,体温升高,腹部紧张,中性粒细胞数量较高,周围尾液,便和尾直径增加.
- 大约10%的AA患者经历了术后并发症.
结论:
- 这项研究提供了一个强大的模型,用于术前区分复杂和无复杂的AA.
- 开发的预测性名谱作为一种有价值的临床工具,用于加强决策和改善AA管理中的患者结果.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
54
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...
54
Appendicitis-I: Introduction
73
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...
73


