在怀疑急性尾炎的儿童中,跳起来测试的诊断价值
Da Hyun Kim1, Jun Sung Park1, Min Kyo Chun1
1Department of Pediatric Emergency Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 05505, Republic of Korea.
Pediatric surgery international
|July 16, 2025
概括
跳起来 (J-Up) 测试是诊断儿童尾炎的敏感工具,对于复杂的病例特别有效. 这种简单的体检有助于儿科紧急护理.
科学领域:
- 儿科急救医学 儿科急救医学
- 手术诊断手术诊断的使用方法
- 临床评估 临床评估
背景情况:
- 在儿童中诊断急性尾炎存在挑战,原因是非特异性症状和体检期间的合作问题.
- 儿童尾炎的传统诊断方法的准确性和患者的遵从性可能受到限制.
研究的目的:
- 评估跳起来 (J-Up) 测试在疑似尾炎的儿童中的诊断效用.
- 为了比较J-Up测试的灵敏度与已建立的尾炎体检迹象.
主要方法:
- 在儿科急诊室对129名儿童 (6-17岁) 进行前性观察性研究.
- 跳跃 (J-Up) 测试评估了跳跃后降落时的疼痛反应.
- 尾炎的诊断通过对比增强的腹部CT得到证实;J-Up测试的灵敏度与反弹疼痛,psoas,阻塞器和Rovsing的迹象进行了比较.
主要成果:
- 在诊断尾炎时,J-Up测试显示出较高的敏感度 (80.3%),而反弹敏感度 (69.7%).
- 在复杂的尾炎病例中,J-Up测试获得了92.9%的灵敏度,超过了其他评估的迹象.
- 在129名注册儿童中,共有76名儿童被诊断患有尾炎.
结论:
- 跳起来 (J-Up) 测试是一种简单,有效的儿童尾炎诊断工具.
- J-Up测试对于识别复杂的尾炎病例尤为有价值.
- 这种测试可以作为在儿科急诊场所传统体检方法的实用补充.
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