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在患有中性粒细胞-淋巴细胞比率的儿童中诊断急性尾炎:一个横截面研究

Mohamed Mahmoud Shalaby¹, Ahmed Alawi², Bayan Mohammed Fatani³

¹Pediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Frontiers in pediatrics

|December 15, 2025

概括

中性粒细胞与淋巴细胞的比率 (NLR) 可以帮助诊断急性尾炎 (AA) 和儿童复杂尾炎. 这种具有成本效益的标志物在儿科患者中显示出显著的关联.

科学领域:

儿科手术儿科手术
血液学血液学血液学
诊断标记器诊断标记器

背景情况:

在儿童中诊断急性尾炎 (AA) 由于异型症状而带来挑战.
非典型的表现可以使儿科患者的准确和及时诊断复杂化.

研究的目的:

评估儿童急性尾炎中中性粒细胞与淋巴细胞比率 (NLR) 的诊断价值.
确定NLR是否可以作为诊断AA和儿童复杂尾炎的辅助标记.

主要方法:

对200名接受尾切除术的儿科患者 (0-14岁) 进行了回顾性横截面研究.
患者被分为正常尾 (n=32),急性尾炎 (n=133) 和穿孔尾炎 (n=35) 组.
对白细胞计数,中性粒细胞计数和与手术发现相关的NLR进行分析.

主要成果:

中性细胞与淋巴细胞的比率 (NLR),白细胞计数 (WBC) 和中性细胞计数在尾炎组显著增加.
多变量回归确认的NLR和WBC计数与AA相关 (P≤0.001).
NLR与复杂尾炎 (P=0.012) 有着显著的关联,在定义的切断点上具有特定的敏感性和特异性.

结论:

中性粒细胞与淋巴细胞比率 (NLR) 是儿科急性尾炎的潜在有用的辅助诊断标志物.
NLR提供了一种具有成本效益的方法来帮助儿童诊断简单和复杂的尾炎.
这项研究支持NLR作为儿童尾炎诊断途径中宝贵的工具的实用性.

关键词:

急性尾炎是什么情况复杂复杂的复杂的复杂的中性粒细胞与淋巴细胞的比率.儿科儿科儿科白血球数量是指白血细胞的数量.

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