儿科卵巢扭曲的超声波迹象:多中心研究与手术相关性
Yassir Edrees Almalki1, Mohammad Abd Alkhalik Basha2, Mohamad Gamal Nada2
1Division of Radiology, Department of Internal Medicine, Medical College, Najran University, Najran, Kingdom of Saudi Arabia; Medical Imaging Department, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
European journal of radiology
|June 22, 2025
概括
儿童卵巢扭曲的诊断通过特定的超声波症状,如卵巢扩大和异常位置,得到了改善. 这些可靠的指标有助于对年轻患者及时进行手术干预.
科学领域:
- 儿科放射学 儿科放射学
- 妇科成像技术 妇科成像技术
- 手术诊断手术诊断的使用方法
背景情况:
- 儿科卵巢扭曲是一种严重的疾病,需要快速诊断,以防止不可逆转的卵巢损伤.
- 超声波是儿童怀疑卵巢扭曲的主要成像方法.
研究的目的:
- 评估儿科卵巢扭曲的特定超声波发现的诊断准确性和可靠性.
- 为了将儿科患者的超声波症状与外科手术结果相关联.
主要方法:
- 对103名怀疑卵巢扭曲的女孩 (7-14岁) 的超声波和手术记录进行了回顾性分析.
- 三位高级放射科医生对超声波发现的独立审查.
- 对各种超声波标志的诊断性能的计算和审查员之间的协议 (Fleiss kappa).
主要成果:
- 在84.5%的病例中确认了卵巢扭曲.
- 卵巢扩大 (OR=10.09),异常的卵巢位置 (OR=8.65) 和异常的血流 (OR=5.61) 是显著的预测因素.
- 卵巢扩大显示出高灵敏度 (92%),卵泡环标志显示出完美的特异性 (100%).
- 异常位置和膨胀的组合产生了98.6%的积极预测值.
结论:
- 卵巢扩大,异常的位置和异常的血液流动是儿科卵巢扭曲的可靠超声波预测器.
- 结合这些超声波信号可以提高诊断的准确性,促进迅速的手术管理.
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