对仅使用计算机断层扫描的儿童的椎脊柱潜在清除的分析
Katie W Russell1, Anastasia M Kahan, R Scott Eldredge
1From the Division of Pediatric Surgery, Department of Surgery (K.W.R., A.M.K., R.A.S., Z.J.K., H.-Y.W.), University of Utah, Salt Lake City, UT; Department of Surgery (R.S.E.), Mayo Clinic, Phoenix, Arizona; Intermountain Medical Center, Salt Lake City, Utah (A.B.K., D.S.M.); Primary Children's Hospital, Salt Lake City, Utah (J.W.R., K.H.); and Department of Neurosurgery (R.R.I., V.M.R., D.L.B.), University of Utah, Salt Lake City, UT.
计算机断层扫描 (CT) 对于在儿科创伤患者中检测临床显著的椎脊椎损伤 (CSI) 是高度敏感的. 阴性CT扫描可可靠地排除CSI,有助于迅速清除患者.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 儿科创伤学 儿科创伤学
背景情况:
- 在儿科创伤中,椎脊柱 (CS) 清除具有挑战性,平衡损伤检测,避免长期固定.
- 计算机断层扫描 (CT) 越来越多地用于评估儿科宫脊椎损伤 (CSI).
研究的目的:
- 确定CT的灵敏度和负预测值,用于识别儿科突击创伤患者中临床显著的CSI.
- 评估CT在一个大型卫生系统内的多样化的医院网络中的有效性.
主要方法:
- 在创伤呈现后24小时内接受CS成像的儿科患者 (<18岁) 的回顾性队列研究.
- 纳入标准:创伤诊断代码,CT成像24小时内.
- 临床显著的CSI定义为需要在7天内进行手术或光环放置的损伤.
主要成果:
- 14,232名儿科创伤患者接受了CS CT;109名 (0.8%) 患有CSI.
- 对CSI的CT灵敏度为96%,预测值为100%负.
- 敏感性在所有儿科年龄组保持一致.
结论:
- 在儿童创伤患者中,CT显示出高灵敏度和NPV用于检测临床显著的CSI.
- 阴性CT发现可以支持无症状患者的儿科椎脊柱的清除.
- 这支持CT作为小儿宫脊椎创伤评估的主要成像方法的使用.
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