复杂尾炎患者中尾瘤的真实发病率:呼吁修订管理算法
Laleh Foroutani1, Jaeyun Jane Wang1, Shreyas Kiran2
1Department of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Annals of surgical oncology
|January 12, 2026
概括
尾瘤发生在16.1%的复杂尾炎病例中. 放射学发现如粘囊和患者年龄等因素预测瘤风险,指导手术决策.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 复杂的尾炎与尾瘤有关,但发生率各不相同.
- 准确识别瘤风险对于患者管理至关重要.
研究的目的:
- 为了确定尾瘤发病率在复杂尾炎的患者.
- 在这个患者群体中确定尾瘤的术前预测因子.
主要方法:
- 对放射性诊断复杂尾炎的成年患者 (2010-2024) 的回顾性分析.
- 专家放射图像审查用于诊断准确性.
- 多变量后勤回归用于识别瘤预测因子.
主要成果:
- 在复杂尾炎病例的16.1%中发现了尾瘤.
- 粘性瘤是最常见的 (54%),其次是神经内分泌瘤 (19%) 和腺癌 (13%).
- 预测因素包括年龄较大,尾直径较大,淋巴腺病,腹膜增强和缺乏脂肪浅.
结论:
- 尾瘤在复杂的尾炎中很常见,发生在16.1%的病例中.
- 放射学和临床预测因素可以帮助指导手术和后续决策,特别是在增加非手术管理的情况下.
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