在疑似急性尾炎的儿科尾炎得分的验证
1Pediatric Surgery Unit, Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh, India. pradyumnpan@rediffmail.com.
Indian pediatrics
|October 28, 2025
概括
儿科尾炎评分 (PAS) 和超声波 (USG) 有效地诊断儿童尾炎. 结合这两种方法显著提高了儿科尾炎的诊断准确度.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 紧急医疗 紧急医疗
背景情况:
- 急性尾炎是儿童常见的手术紧急情况.
- 准确的诊断至关重要,以避免并发症和不必要的手术.
- 儿科尾炎评分 (PAS) 和超声波 (USG) 是常用的诊断工具.
研究的目的:
- 评估小儿尾炎评分 (PAS) 和超声波 (USG) 对儿童和青少年急性尾炎的诊断性能.
- 为了比较单独和组合的PAS和USG的准确性.
主要方法:
- 一项前性研究包括146名疑似急性尾炎的儿童和青少年.
- 计算了PAS值,并对所有患者记录了USG发现.
- 使用接收器操作特征 (ROC) 曲线评估诊断准确性.
主要成果:
- PAS显示ROC曲线下的面积 (AUROC) 为0.850,而USG的AUROC为0.880.
- 通过PAS和USG的组合,获得了更高的AUROC,为0.920.
- 在PAS和USG发现之间观察到很强的一致性 (Kappa=0.84).
结论:
- 无论是PAS还是USG都是诊断儿科急性尾炎的宝贵工具.
- 与单独使用PAS相比,USG的诊断准确性略高.
- 结合PAS和USG显著改善了儿科尾炎病例的诊断性能.
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