临床分数可以减少CT在结肠中的使用吗? 一个头对头的比较
Ramazan Kıyak1, Meliha Fındık1, Bahadır Çağlar1
1Department of Emergency Medicine, Faculty of Medicine, Balıkesir University, Balıkesir 10145, Türkiye.
概括
像CHOKAI和修改后的STONE这样的临床评分系统可以帮助诊断尿路结石,减少计算机断层扫描 (CT) 辐射暴露的需要. 这些分数有效地预测了紧急情况下的尿路结石疾病.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 非对比计算断层扫描 (CT) 是诊断尿路结石的标准,但涉及辐射暴露.
- 经常形成石的人面临来自频繁CT扫描的累积辐射风险.
- 临床评分系统 (CHOKAI,STONE,修改后的STONE) 提供了临床诊断工具.
研究的目的:
- 为了前性地比较CHOKAI,STONE和修改后的STONE分数的预测性表现.
- 评估这些分数在诊断急诊部尿路结石病的有用性.
- 评估尿道结石的CT-first诊断策略的潜在替代方案.
主要方法:
- 一项前性研究涉及130名患有侧翼疼痛的成年患者.
- 进行了床边临床评分 (CHOKAI,STONE,修改后的STONE) 和非对比CT.
- 统计分析包括千-平方测试和后勤回归;模型校准和准确性被评估.
主要成果:
- 恶心,先前的石头病史和水解是CT上尿道石头的显著预测因素.
- 患有这些因素的患者在CT检测出结石的可能性显著增加.
- 在患有石头和水性的病史和没有病史的患者之间观察到统计学上显著的差异 (p < 0.01).
结论:
- 在这个队列中,CHOKAI和修改后的STONE分数显示出比原始STONE分数更好的预测性能.
- 临床评分系统包括恶心,先前的石头病史和水解,可能会减少对CT的依赖.
- 在广泛采用这些评分系统之前,需要进一步的多中心验证.
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