下肝尾炎:对临床表现,诊断挑战和手术管理的系统审查
Navaneethan Adityaraj Shivalingam Vanaraj1, Vishwajit G V2, Keerthika Vijayakumar3
1Department of Surgical Oncology, Coimbatore Medical College Hospital, Coimbatore, IND.
Cureus
|December 30, 2025
概括
下肝尾炎 (SHA) 是一种罕见的疾病,模仿肝脏疾病. 本综述综合了97个病例,突出显示了CT扫描用于诊断和腹腔镜手术的有利结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 下肝尾炎 (SHA) 呈现异常,经常模仿肝胆病理.
- 有限的证据存在,主要来自案例报告,阻碍了全面的理解.
研究的目的:
- 系统地审查和综合SHA的临床表现,诊断方法,管理策略和结果.
- 为这种罕见的尾炎变体提供综合证据基础.
主要方法:
- 按照PROSPERO注册的协议进行系统审查.
- 搜索了PubMed,Scopus和谷歌学者直到2024年5月,补充了手动和引文搜索.
- 包括88个出版物 (78个病例报告,10个系列) 详细介绍了97名SHA患者;数据用偏差风险评估进行了描述性总结.
主要成果:
- 主要症状:右下体疼痛 (82%),伴有发烧和吐.
- CT可靠地诊断出SHA (81%),而超声波的效果较低 (大约1. 25%). 这是一个很好的方法.
- 大多数患者 (97%) 接受了手术,通常是腹腔镜 (大约. 50%),结果很好 (有1人死亡). 在某些情况下发现了先天性异常.
结论:
- 在患有右下体疼痛和不确定的肝胆成像的患者中,应考虑SHA.
- CT可以提高SHA的诊断准确性.
- 及时的手术干预,最好是腹腔镜,导致了良好的患者结果.
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