相关实验视频
Updated: May 5, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
1.4K
评估阴性尾切除率:英国教学医院信任机构的回顾性观察队列研究
Jin Ren Lau1, Ker Yin Tee2, Karim Heiba1
1General Surgery, East Lancashire Hospitals NHS Trust, Blackburn, GBR.
Cureus
|November 24, 2025
概括
英国的阴性尾切除率 (NAR) 仍然很高,为18.4%,超过了国际基准. 提高尾炎的诊断准确度,特别是在儿童和女性中,对于减少不必要的手术至关重要.
科学领域:
- 外科手术 手术手术
- 手术质量指标 手术质量指标
- 诊断的准确性 诊断的准确性
背景情况:
- 阴性尾切除率 (NAR) 是疑似急性尾炎的手术质量和诊断准确性的关键指标.
- 尽管取得了进展,但英国的NAR高于国际平均水平,这表明诊断决策的改善空间.
研究的目的:
- 确定东兰开夏医院NHS信托 (ELHT) 的NAR,并与基准进行比较.
- 评估影响疑似尾炎诊断准确性和临床决策的因素.
主要方法:
- 在ELHT (2023年6月至2024年6月) 进行320次紧急尾切除术的回顾性观察队列研究.
- 数据包括人口统计,临床表现,实验室,成像和组织病理学;由组织学定义的NAR.
- 根据年龄,性别,成像分组分析;临床医生对评分系统使用情况的调查.
主要成果:
- 在ELHT的总体NAR为18.4% (59/320),与国家数据一致,但高于国际聚合估计 (13%).
- 与男性 (13.6%) 相比,NAR在儿童 (23.6%) 中更高,在女性 (25.6%) 中明显更高.
- 一半的阴性尾切除术发生在没有手术前成像的情况下; 66.7%的临床医生依靠直觉而不是验证的评分系统.
结论:
- ELHT的18.4%的NAR强调了持续的诊断挑战,特别是在儿科和女性人群中.
- 使用经过验证的评分工具 (例如,AIR,AAS) 和适当的成像来标准化诊断途径可以提高准确性并减少不必要的尾切除术.
相关概念视频
01:22Appendicitis-I: Introduction
4.4K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.4K
01:29Appendicitis-II: Diagnostic Studies and Management
936
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
936
01:19Appendicitis
29
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
29