...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Diagnostic value of laparoscopy, abdominal computed tomography, and ultrasonography in acute appendicitis
【24h】

Diagnostic value of laparoscopy, abdominal computed tomography, and ultrasonography in acute appendicitis

机译：腹腔镜，腹部CT和超声检查对急性阑尾炎的诊断价值

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: The most efficient approach to diagnosis of acute appendicitis (AA) continues to be a challenge. We sought to determine diagnostic accuracy, sensitivity, and specificity of computed tomography (CT), ultrasonography, and laparoscopy and compared benefits and advantages in patients with suspected AA. Patients and Methods: A retrospective review of all patients who had laparoscopic surgery between January 2000 and December 2009 was conducted. Preoperative information, surgery results, and outcomes were compared. Results: Of 887 laparoscopic procedures performed for suspected AA, 254 (29%) patients had preoperative imaging: 171 CT scans and 83 ultrasound (US) scans. Overall, 754 patients underwent laparoscopic appendectomy (LA), and 133 underwent diagnostic laparoscopy (DL). DL was negative in 23 patients. The sensitivity of LA was higher than that of CT (98% versus 94%), whereas the specificity of LA was higher than that of CT and US in complicated appendicitis and in women. Complicated AA was significantly less common in patients who underwent laparoscopic surgery compared with patients evaluated by preoperative CT. Comparing the kappa value between the preoperative diagnosis by imaging and DL, a weak agreement was found (κ=0.234±0.057). Conclusions: Laparoscopy achieves early and accurate diagnosis of AA and can reduce the incidence of perforated appendicitis. Abdominal CT remains a valuable diagnostic tool. DL is useful in the early stages of the diagnostic work-up and avoids unnecessary exposure to radiation of the abdomen and pelvis in young women.
机译：背景：诊断急性阑尾炎（AA）的最有效方法仍然是一个挑战。我们试图确定计算机断层扫描（CT），超声检查和腹腔镜检查的诊断准确性，敏感性和特异性，并比较可疑AA患者的获益和优势。患者与方法：对2000年1月至2009年12月期间所有接受腹腔镜手术的患者进行回顾性研究。比较术前信息，手术结果和结果。结果：在针对疑似AA进行的887例腹腔镜手术中，有254例（29％）患者进行了术前成像：171例CT扫描和83例超声（US）扫描。总体而言，有754例患者接受了腹腔镜阑尾切除术（LA），有133例接受了诊断性腹腔镜检查（DL）。 DL阴性23例。在复杂性阑尾炎和女性中，LA的敏感性高于CT的敏感性（分别为98％和94％），而LA的特异性高于CT和US。与通过术前CT评估的患者相比，在接受腹腔镜手术的患者中复杂的AA明显较少。比较术前影像学检查和DL诊断之间的kappa值，发现一致性较弱（κ= 0.234±0.057）。结论：腹腔镜检查可对AA进行早期准确诊断，并可减少穿孔​​性阑尾炎的发生。腹部CT仍然是有价值的诊断工具。 DL在诊断检查的早期阶段很有用，可避免年轻女性不必要地暴露于腹部和骨盆辐射。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号