根据超声波特征,区分复杂急性尾炎与非复杂急性尾炎
Zhongya Xu1, Jinfeng Yang1, Ying Niu1
1Department of Ultrasound, The People's Hospital of Yingshang, 236200 Fuyang, Anhui, China.
Annali italiani di chirurgia
|January 15, 2026
概括
这项研究开发了一种超声波 (美国) 模型,以区分复杂急性尾炎 (CAA) 和非复杂急性尾炎 (NCAA). 美国的nomogram准确地预测CAA,有助于手术前风险分层和治疗决策.
科学领域:
- 放射学和医学成像学 医学成像学
- 胃肠病学 胃肠病学
- 手术诊断手术诊断的使用方法
背景情况:
- 急性尾炎很常见,但在手术前区分复杂 (CAA) 和非复杂 (NCAA) 形式是具有挑战性的.
- 准确的手术前诊断对于适当的患者管理和资源分配至关重要.
- 超声波 (美国) 是一种广泛可用的成像方式,具有尾炎评估的潜力.
研究的目的:
- 确定关键的超声波 (美国) 特性,区分复杂急性尾炎 (CAA) 与非复杂急性尾炎 (NCAA).
- 开发和验证一个基于美国的预测模型,用于对CAA进行手术前诊断.
- 加强手术前风险分层,指导急性尾炎的治疗决策.
主要方法:
- 对178名经过手术确认的尾炎患者的回顾性分析.
- 美国手术前标准化检查和CAA和NCAA组之间的临床和超声波变量比较.
- 使用LASSO和多变量后勤回归进行预测模型的开发,通过AUC,校准图和DCA进行性能评估.
主要成果:
- 复杂尾炎 (CAA) 患者年龄较大,症状持续时间较长,白细胞 (WBC) 数量较高,中性粒细胞百分比 (NE%).
- 美国CAA的关键预测因素包括更大的尾外径 (AOD),增加尾周围炎性脂肪厚度 (PIFT),尾周围液体收集 (PAFC),边缘模糊 (MI) 和改变的肠周围静止 (ABP).
- 总部位于美国的最终名录显示出优异的分辨率 (AUC = 0.890) 和良好的校准,DCA证实了高临床效用.
结论:
- 开发的基于美国的nomogram是一个准确的,非侵入性的工具,用于从NCAA进行CAA的手术前分化.
- 这种工具可以帮助急性尾炎患者进行手术前风险分层.
- 诺米图支持明智的治疗决策,有可能优化患者的治疗结果.
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