Sigdel G S, Lakhey P J, Mishra P R
Department of Surgery, Kathmandu Model Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2010 Apr-Jun;49(178):96-9.
Acute appendicitis is a common surgical emergency. Accurate diagnosis and timely intervention reduces mortality and morbidity. This study compared the efficacy of Tzanakis and Alvarado score in diagnosis of acute appendicitis.
A prospective, non randomized study was conducted in 100 consecutive patients who had undergone emergency appendectomy from May 2008 to October 2008. Tzanakis and Alvarado scores were obtained at the time of admission. Final diagnosis of acute appendicitis was based on histological findings.
The sensitivity, specificity and overall diagnostic accuracy of Tzanakis score was 91.48% and 66.66% and 90% respectively. The sensitivity, specificity and overall diagnostic accuracy of Alvarado score was 81.91% and 66.66% and 81% respectively. Negative appendectomy rate was 6%.
Tzanakis score is an effective modality to establish the accurate diagnosis of acute appendicitis.
急性阑尾炎是一种常见的外科急症。准确的诊断和及时的干预可降低死亡率和发病率。本研究比较了察纳基斯评分和阿尔瓦拉多评分在急性阑尾炎诊断中的效能。
对2008年5月至2008年10月期间连续100例行急诊阑尾切除术的患者进行了一项前瞻性、非随机研究。入院时获取察纳基斯评分和阿尔瓦拉多评分。急性阑尾炎的最终诊断基于组织学检查结果。
察纳基斯评分的敏感性、特异性和总体诊断准确性分别为91.48%、66.66%和90%。阿尔瓦拉多评分的敏感性、特异性和总体诊断准确性分别为81.91%、66.66%和81%。阴性阑尾切除率为6%。
察纳基斯评分是准确诊断急性阑尾炎的有效方法。
