预测阑尾切除术后意外发现阑尾肿瘤的因素：倾向评分匹配分析。

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2025-02-21 DOI:10.1177/00031348251323706

Sadettin Er, Abidin Göktaş Goktas, Sabri Özden Ozden, Merve Akın Akin, Tezcan Akın Akin, Hüseyin Fahri Martlı Martli, Arzu Hazal Aydın Aydin, Birkan Birben, Fatih Acehan

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引用次数: 0

摘要

目的：探讨预测因阑尾炎行阑尾切除术患者偶发阑尾肿瘤的因素。方法：对5829例在外科诊断为阑尾炎并行阑尾切除术的患者进行检查。通过倾向评分匹配分析，选择阑尾肿瘤伴良性病理的患者，比例为1:4。经分析，将74例患者分为阑尾瘤变组，274例患者分为良性组。结果：纳入研究的348例阑尾瘤变组和良性病理组的平均年龄分别为45.6岁和46.4岁。阑尾直径、阑尾壁造影增强和中性粒细胞计数是阑尾瘤变病理的独立参数。结合阑尾直径、阑尾壁未见强化及中性粒细胞计数判断阑尾瘤变病理的AUC值为0.787。结论：阑尾直径、无壁增强和中性粒细胞计数是临床医生怀疑阑尾肿瘤的三个有用的预测指标。

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Factors Predicting Incidentally Found Appendiceal Tumors Following Appendectomy: Propensity Score Matching Analysis.

Purpose: The factors that predict coincidental appendiceal neoplasms in patients who underwent appendectomy due to appendicitis were investigated.

Methods: 5829 patients diagnosed with appendicitis and underwent appendectomy in the department of surgery were examined. Among these patients, patients with appendiceal neoplasia and benign pathology were selected by propensity score matching analysis in a ratio of 1:4. As a result of analysis, 74 and 274 patients were grouped as appendiceal neoplasia and benign pathology, respectively.

Results: The mean age of the 348 appendiceal neoplasia and benign pathology groups included in the study was 45.6 and 46.4, respectively. Appendiceal diameter, contrast enhancement in the appendix wall, and neutrophil count were independent parameters for appendiceal neoplasia pathology. The AUC value of the combination of appendix diameter, lack of enhancement in the appendix wall, and neutrophil count in distinguishing appendiceal neoplasia pathology was 0.787.

Conclusion: Appendix diameter, lack of wall enhancement, and neutrophil count are the three predictive indicators useful in helping clinicians suspect appendiceal neoplasms.

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.