超声波在成年人尾炎的诊断性能. 对331个案件的回顾性审查
1Waikato Hospital, Hamilton, New Zealand.
Journal of medical radiation sciences
|March 12, 2026
概括
超声波是诊断成年人尾炎的宝贵工具,具有高特异性但中度敏感性. 当超声波检测结果是阴性时,尾炎不太可能发生,通常会发现其他疾病.
科学领域:
- 放射学 放射学是一门学科.
- 诊断成像 诊断成像 诊断成像
- 腹部成像 腹部成像 腹部成像
背景情况:
- 精确诊断急性尾炎对于患者的治疗结果至关重要.
- 随着技术的进步,尾炎的超声波性能得到了改善.
- 评估成年人超声波的诊断准确度至关重要.
研究的目的:
- 评估成年人尾炎超声波的诊断准确性.
- 在疑似尾炎的患者中通过超声检测到的替代诊断的识别.
主要方法:
- 对16岁及以上患者的腹部超声波检查的回顾性审查.
- 根据标准化短语,将报告分类为尾炎的阳性或阴性.
- 使用临床记录,手术发现,组织学和随访验证真实结果的验证.
主要成果:
- 超声波显示,尾炎的灵敏度为60%,特异性为98%,阳性预测值为82%,阴性预测值为93%.
- 在108名患者中确定了替代诊断,其发生频率是尾炎的两倍.
- 常见的替代诊断包括卵巢事件,水溶和中肠腺炎.
结论:
- 超声波显示高特异性,但适度敏感性成人尾炎的诊断.
- 一个负的超声检查使尾炎不太可能.
- 超声波对于评估右下象限疼痛是有价值的,经常揭示替代病理.
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