区分早期急性瘤性尾炎和未复杂的急性尾炎使用超声波:一个回顾性观察性研究
Min Zhang1, Siling Ren1, Jian Li1
1Department of Ultrasound Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, People's Republic of China.
Journal of clinical ultrasound : JCU
|September 27, 2025
概括
超声波可以帮助区分早期急性带性尾炎 (AGA) 和无并发性尾炎 (UAA). 关键的超声波指标,如尾壁异常和厚化介质,有助于诊断.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 急性尾炎是一种常见的手术紧急情况.
- 区分无并发性急性尾炎 (UAA) 和急性尾炎 (AGA) 对于适当的治疗至关重要.
- 早期诊断AGA可以预防并发症.
研究的目的:
- 评估超声波在区分早期急性带性尾炎 (AGA) 与无并发性急性尾炎 (UAA) 中的诊断性能.
- 为了确定与AGA相关的特定超声波发现.
主要方法:
- 一项回顾性观察性研究,涉及603名患者 (305名AGA,398名UAA) 在一所高等教学医院.
- 手术和病理学检查证实了诊断.
- 用单变量和多变量逻辑回归分析来确定风险因素.
主要成果:
- 多变量分析确定了男性性别,年龄较大,症状持续时间较长,中性粒细胞升高,尾周介质厚度增加,超声波透性较差的尾内液体,尾阻塞和尾壁异常作为AGA的显著预测因素.
- 周围尾介质厚度≥7毫米显示高灵敏度,而尾壁异常,尾内气和周围尾液显示高特异性对AGA.
结论:
- 超声波检测结果,特别是尾壁异常和尾周介质厚,对于早期诊断AGA非常有价值.
- 将超声波结果与临床评估相结合,可以提高AGA诊断的准确性,并指导治疗决策.
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