对患有下腹痛的患者的计算机断层扫描检查的回顾性分析:一个单一中心的经验
1Department of General Medicine and Radiology, Dokkyo Medical University Saitama Medical Center, Saitama 343-8555, Japan.
计算机断层扫描 (CT) 在日本有效诊断急性下腹痛,尽管有辐射问题. 这项研究突出了CTCTCT的重点.
科学领域:
- 放射学和医学成像学 医学成像学
- 腹部诊断 腹部诊断 腹部诊断
- 紧急医疗 紧急医疗
背景情况:
- 腹部下部疼痛是常见的临床表现,有多种原因,需要准确的诊断工具.
- 计算机断层扫描 (CT) 对诊断至关重要,但需要平衡辐射暴露和资源使用的好处.
- 在日本,在紧急情况下超声波和MRI的有限可用性强调了CT的重要性.
研究的目的:
- 评估CT对日本急性下腹痛的诊断准确性和临床实用性.
- 强调CT在识别罕见解剖变异和与怀孕有关的疾病中的作用.
- 评估在紧急情况下使用其他成像方法的实际局限性.
主要方法:
- 针对急性下腹痛进行CT的230名患者的回顾性审查 (2014年).
- 图形扫描结果与最终临床诊断的系统相关性.
- 使用门静脉相CT与可选的动脉相成像;对不确定的病例进行独立审查.
主要成果:
- 异形性疼痛 (45.2%),尾炎 (20.0%) 和分炎 (11.7%) 是最常见的.
- 右下象限疼痛与尾炎相关;左下象限疼痛与尾炎相关.
- 罕见的发现包括逆位和肠道恶性旋转;与怀孕相关的病例包括尾炎和纤维瘤退化.
结论:
- 在日本,CT显著有助于下腹疼痛的诊断,特别是当其他方法无法使用时.
- 对解剖学变异和与怀孕有关的问题的认识对于准确的CT解释至关重要.
- 特定位置的CT协议可以优化临床管理和对腹痛的资源配置.
更多相关视频
06:31Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain
Published on: August 8, 2019
09:32Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
Published on: December 9, 2021
相关概念视频
Imaging Studies III: Computed Tomography
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Appendicitis-II: Diagnostic Studies and Management
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...
Imaging Studies VI: Voiding Cystourethrography and Cystography
Appendicitis-I: Introduction
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...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
