用于初学者和专家临床医生评估儿科功能性便秘的便携式超声波
Pola Waissman1, Ron Berant2, Lisa Amir2
1Neuromuscular and Human Performance Laboratory, Department of Physiotherapy, Ariel University, Ariel, Israel.
Frontiers in pediatrics
|September 2, 2025
概括
便携式超声波 (PsUS) 是评估儿童功能性便秘 (PFC) 的有效和可靠工具. 具有不同超声波经验的临床医生可以有效地使用PsUS进行PFC评估.
科学领域:
- 儿童胃肠病学
- 医疗成像技术
- 诊断工具
背景情况:
- 儿童功能性便秘 (PFC) 是一个重大的全球健康挑战.
- 准确评估PFC对于有效管理至关重要.
- 目前的评估方法可能在可访问性和易用性方面存在局限性.
研究的目的:
- 评估口袋式超声波 (PsUS) 对于儿童功能性便秘 (PFC) 的有用性.
- 在测量主要直肠参数 (横直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠直肠
- 评估使用PsUS进行PFC评估的专家和新手临床医生之间的协议.
主要方法:
- 一项涉及52名4至14岁儿童 (28名PFC患者,24名对照患者) 的横截面研究.
- 使用常规超声波 (US) 和PsUS进行了横直肠直径 (TRD) 和直肠前壁厚度 (RAWT) 的测量.
- 通过使用类内相关系数 (ICCs) 评估了评价者之间的可靠性 (经验丰富与新手临床医生) 和与传统US相比的有效性. 通过接收器操作特征 (ROC) 分析来评估诊断准确性.
主要成果:
- 经验丰富的临床医生和新手临床医生在传统的US和PsUS测量中都观察到很高的一致性 (ICC从0. 97到0. 99不等).
- 与常规药物相比,PsUS的有效性很强,TRD的ICC为0.96和RAWT的ICC为0.87.
- 在确定PFC时,ROC分析显示PsUS的诊断准确度很高,TRD的曲线下面面积 (AUC) 为0.88和RAWT的0.91.
结论:
- 便携式超声波 (PsUS) 是评估儿童功能性便秘 (PFC) 的有效和可靠工具.
- 临床医生可以有效地利用PsUS,而不管他们之前的超声波经验如何.
- 这项技术在临床实践中为PFC评估提供了一个有希望的,可访问的选择.
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