阿尔瓦拉多评分、Raja Isteri Pengiran Anak Saleha 阑尾炎评分和超声波检查诊断急性阑尾炎的比较:前瞻性研究

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Mohan Lal, Anil Kumar, P. Chandawat
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引用次数: 0

摘要

背景:人们发明了不同的方法来诊断急性阑尾炎,以便在诊断不明确的情况下提供帮助。在不同的人群和医疗环境中使用不同的成像和评分方法时,准确度也不尽相同。超声波成像(USG)是一种广泛使用且安全的成像技术,但它依赖于操作者。由于 USG、Alvarado 评分和 Raja Isteri Pengiran Anak Saleha Appendicitis(RIPASA)评分从未进行过全面比较,因此我们对患有右髂窝疼痛并被认为患有急性阑尾炎的人进行了练习。方法采用评估评分表,包括两个评分表的所有要素,以及 USG 结果、人口统计学数据和组织学报告。确定并比较两种评分和 USG 的特异性、敏感性、阴性预测值、阳性预测值、预测的阑尾切除阴性率和诊断准确性。结果:与阿尔瓦拉多评分和 USG(分别为 75.46% 和 71.78%)相比,RIPASA 评分的诊断准确率高达 89.57%,明显更高。根据 USG、Alvarado 和 RIPASA 评分,预测的阑尾切除阴性率分别为 17.82%、9.195% 和 6.48%。结论RIPASA 评分是一种经济实惠、值得信赖、可重复使用的诊断工具,在检测急性阑尾炎方面具有很高的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Alvarado score, Raja Isteri Pengiran Anak Saleha Appendicitis score, and ultrasonography for diagnosing acute appendicitis: A prospective study
Background: Different methods for diagnosing acute appendicitis have been invented to help amid equivocal instances. Different levels of accuracy have been noted when the imaging and scores were utilized in diverse populations and health-care contexts. Ultrasonography (USG) is a widely accessible and safe imaging technique, but it is operator dependent. Since USG, Alvarado scores, and Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score have never been thoroughly compared, we practiced them to people who suffered from right iliac fossa pain and were thought to have acute appendicitis. Methods: Evaluation scoring sheets, including all the elements of both scores, as well as USG findings, demographic data, and histological reports, were employed. Specificity, sensitivity, negative predictive value, positive predictive value, predicted negative appendectomy rate, and diagnostic accuracy for both scores as well as USG were determined and compared. Results: As compared to the Alvarado score and USG (75.46% and 71.78%, respectively), the RIPASA score's diagnostic accuracy of 89.57% was significantly higher. According to the USG, Alvarado, and RIPASA scores, the predicted negative appendectomy rates were 17.82%, 9.195%, and 6.48%, respectively. Conclusion: The RIPASA score is an affordable, trustworthy, repeatable diagnostic tool with high accuracy for the detection of acute appendicitis.
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
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45 weeks
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