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首页> 外文期刊>Family practice. >Results of computed tomography in family practitioners' patients with non-acute abdominal pain.
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Results of computed tomography in family practitioners' patients with non-acute abdominal pain.

机译：家庭医生非急性腹痛患者的计算机断层扫描结果。

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OBJECTIVES: The utility of abdominal computerized tomography (CT) for evaluating abdominal pain in non-emergency, primary care outpatients is unknown. Family practice patients commonly report abdominal pain. METHODS: We reviewed the records of health maintenance organization primary care outpatients <2 years after they had undergone CT for abdominal pain and assessed demographic variables, clinical and laboratory data, CT findings and final diagnoses. RESULTS: We studied 137 patients: age 58.1 +/- 16.1 years (mean +/- SD), 80 (58.4%) females. Fifty (36.5%) patients had > or 1 warning clinical or laboratory feature. Positive (etiologic) and negative CT reports and unrelated and multiple CT findings occurred in 16 (11.7%), 104 (75.9%), 16 (11.7%) and 1 (0.7%) patients, respectively. Positive findings occurred in 16 (32.0%) patients with > or =1 warning feature and 1 (1.2%) patient (including the 1 patient with multiple findings) with no warning feature (P < 0.0001). One (6.3%) unrelated finding led to treatment, ovariectomy for a benign tumor. Fifty-four (39.4%) patients had a final diagnosis. CONCLUSIONS: A majority of outpatients who had CT for abdominal pain received no diagnosis, and CT was rarely diagnostic for patients lacking a warning feature. Positive and unrelated CT findings were equally prevalent, and the latter were not beneficial.
机译：目的：腹部计算机断层扫描（CT）在非急诊，初级保健门诊患者中评估腹痛的实用性尚不清楚。家庭医生通常报告腹部疼痛。方法：我们回顾了<2年后因腹部疼痛而接受CT的健康维护组织初级保健门诊患者的记录，并评估了人口统计学变量，临床和实验室数据，CT表现和最终诊断。结果：我们研究了137例患者：年龄58.1 +/- 16.1岁（平均+/- SD），80位女性（58.4％）。五十（36.5％）位患者的临床或实验室特征≥1位。 CT报告（病因学）和阴性（不相关）和多发CT检查分别在16例（11.7％），104例（75.9％），16例（11.7％）和1例（0.7％）患者中发生。阳性结果出现在16例（32.0％）带有>或= 1预警特征的患者和1例（1.2％）病人（包括1例具有多重发现的患者）而没有预警特征（P <0.0001）。一个无关的发现（6.3％）导致了对良性肿瘤的卵巢切除手术。五十四名（39.4％）患者得到了最终诊断。结论：大多数因腹部疼痛而接受CT检查的门诊患者均未得到诊断，对于缺乏警告特征的患者很少进行CT诊断。阳性和无关的CT检查同样普遍，而后者无益。

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