不是所有患者都需要CT,当尾在超声波上看不到时:一个范围审查
Ali Ramji1, Justin J Y Kim1, Gavin Low1
1Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Diagnostics (Basel, Switzerland)
|January 28, 2026
概括
超声波 (美国) 在没有看到尾的成年人中具有高负预测值 (NPV),可能超过90%. 这表明,对于疑似尾炎,CT扫描可能并不总是必要的,特别是在临床怀疑较低的情况下.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
背景情况:
- 北美指南建议CT扫描当超声波 (美国) 尾炎的结果是负的.
- 在成人患者中,当尾没有可视化时,US的负预测值 (NPV) 需要澄清.
研究的目的:
- 为了评估成年患者超声波的负预测值 (NPV),当没有可视化尾时.
主要方法:
- 根据PRISMA-ScR指南进行了MEDLINE和EMBASE的范围审查.
- 包括的研究集中在美国未可视化尾症的成年患者身上,优先考虑没有二次性尾炎症状的患者.
- 参考标准包括临床随访,CT和/或病理学.
主要成果:
- 审查了6项涉及12-179名患者的研究.
- 无限期超声波的NPV在80-90%之间,当排除二次征兆时,NPV在83-95%.
- 在低前测试概率的情况下,NPV达到96-100%.
结论:
- 没有二次症状的成年人尾炎的不确定性超声波具有至少90%的NPV.
- 当临床怀疑低时,NPV可能超过95%.
- 对后续CT扫描的决定应根据临床表现进行个性化.
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