在术前计算机断层扫描上偶然发现的患病率和临床影响,用于关节镜
Alec E Winzenried1, Quinn Steiner1, Samuel J Mosiman1
1Department of Orthopedic Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Orthopaedic journal of sports medicine
|April 29, 2025
概括
随机发现 (IFs) 是常见的CT扫描为股骨支骨塞,轻微影响患者的结果. 建议采用标准化的随访方案,以改善患者的护理.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科手术 整形外科手术
- 患者的治疗结果.
背景情况:
- 计算机断层扫描 (CT) 扫描是前手术规划 femoroacetabular impingement (FAI) 的标准.
- 这些扫描覆盖了广泛的解剖区域,导致偶然发现 (IF).
- 在FAI患者中,IF的患病率和临床影响尚不清楚.
研究的目的:
- 确定在FAI的手术前CT扫描中IF的流行率.
- 识别与IF相关的因素.
- 评估IF对患者报告结果和管理的影响.
主要方法:
- 对596名患者的714次术前盆腔CT扫描进行了回顾性审查.
- 后勤回归用于识别IF的预测因素.
- 重复措施混合建模,以评估IF在两年内对患者结果的影响.
主要成果:
- 偶然发现 (IF) 在42.9%的扫描中存在,主要是骨 (78.1%).
- 年龄较大与IFs的可能性较高有关.
- IF与患者报告结果得分的统计学上显著,但不具有临床意义的下降有关.
结论:
- 在针对FAI的CT扫描中存在IF的高患病率.
- 虽然IFs影响结果得分,但这些变化不会超过临床重要差异最小值 (MCID).
- 对于IF的标准化后续检查方案对于全面的患者护理至关重要.
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