Kreitner K F, Mildenberger P, Maurer M, Heintz A
Radiologische Klinik mit Poliklinik, Johannes Gutenberg-Universität, Mainz.
Aktuelle Radiol. 1992 Jul;2(4):234-8.
In a retrospective study the use of imaging modalities in the diagnosis of non-specific abdominal pain in patients under 31 years was evaluated. 253 patients with primarily non-specific abdominal complaints were analysed. For further investigation one of the following methods had to be applied: abdominal sonography and/or upper gastrointestinal tract roentgenograms and/or enteroclysis and/or barium enema. In 66% (167/253) of all cases abdominal pain remained non-specific. Clinical history and physical examination led to the final diagnosis in 66/86 (76.7%) of patients with pathologic findings. 21/561 (3.7%) radiographic examinations revealed abnormalities of clinical importance. In 10/253 (4%) patients the final diagnosis could be established only with the help of radiologic and/or endoscopic examinations. The low efficacy of conventional radiology justifies the demand for a stricter indication in the young patient suffering from non-specific abdominal pain.
在一项回顾性研究中，对31岁以下患者使用成像模态诊断非特异性腹痛的情况进行了评估。分析了253例主要有非特异性腹部主诉的患者。为进一步检查，必须应用以下方法之一：腹部超声和/或上消化道X线片和/或小肠灌肠造影和/或钡灌肠。在所有病例的66%（167/253）中，腹痛仍为非特异性。临床病史和体格检查在66/86（76.7%）有病理发现的患者中得出了最终诊断。21/561（3.7%）的影像学检查显示有具有临床意义的异常。在10/253（4%）的患者中，只有借助放射学和/或内镜检查才能确立最终诊断。传统放射学的低效能证明了对患有非特异性腹痛的年轻患者需要有更严格的指征要求。
