计算机断层扫描 (CT) 尾炎评分和实验室参数在急性尾炎的评估,有或没有CT检测到的尾炎
Tuğberk Baştürk1, Mehmet Duran2, Seda Baştürk3
1Department of Radiology, Uşak Training and Research Hospital, Uşak-Türkiye.
概括
尾炎与尾炎显示出更多的炎症和更高的穿孔风险. 计算机断层扫描尾炎得分 (CTAS),C反应蛋白 (CRP) 和单细胞 (MONO) 水平表明穿孔的严重程度.
科学领域:
- 医疗成像医学成像
- 胃肠病学 胃肠病学
- 炎症性疾病 炎症性疾病
背景情况:
- 精确诊断急性尾炎 (AA) 对于非手术治疗至关重要.
- 尾石,附录中的化沉积物,可能会影响AA呈现和结果.
- 评估诊断标志物以及成像对于评估AA严重性至关重要.
研究的目的:
- 为了比较患有尾炎和没有尾炎的患者的诊断标志物.
- 评估计算机断层扫描尾炎得分 (CTAS),全血细胞计 (CBC),C反应蛋白 (CRP) 和系统性免疫炎症指数 (SII) 在尾炎中的实用性.
- 根据这些参数,区分穿孔和非穿孔尾炎.
主要方法:
- 在2020年1月至2023年1月期间,对294名被诊断为AA的患者进行了回顾性分析.
- 患者被分为两组:有 (n=140) 和没有 (n=154) 尾炎.
- CT发现,CTAS,CBC参数,CRP和SII被评估和比较,重点是尾孔穿孔.
主要成果:
- 尾炎与尾炎显示尾的直径增加,壁厚,腹内液体和脂肪分离.
- 在尾炎患者中,CTAS显著更高 (7.51对6.38),与尾炎直径正相关.
- 在尾炎患者中,穿孔率更高 (10.7%对3.2%),特别是在多次尾炎患者中. 在穿孔病例中,注意到CRP和单细胞计数的增加.
结论:
- 与尾炎相关的尾炎呈现出更严重的炎症和更高的穿孔可能性.
- CTAS,CRP和单细胞水平是尾穿孔的潜在指标.
- 结合尾炎的存在,CTAS和实验室标记物有助于评估AA炎症的严重程度.
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