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林图拉评分在土耳其急性阑尾炎患者中的外部验证。

External validation of Lintula score in Turkish acute appendicitis patients.

机构信息

Ordu State Hospital, Durugöl mah. Ornekkent Sitesi, C Blok, 4/10 Ordu, Turkey.

出版信息

Int J Surg. 2012;10(1):25-7. doi: 10.1016/j.ijsu.2011.11.006. Epub 2011 Nov 30.

Abstract

PURPOSE

The aim of this study was to evaluate the predictive accuracy of Lintula score in Turkish appendicitis patients.

MATERIALS AND METHODS

Data from a total of 156 patients operated with the diagnosis of acute appendicitis were collected retrospectively. The Lintula score was constructed from nine variables (gender, intensity of pain, relocation of pain, pain in the right lower abdominal quadrant, vomiting, body temperature, guarding, bowel sounds and rebound tenderness) with independent diagnostic value in 156 patients. Lintula score was calculated for all patients. Pathological results of the resected specimen were determined and the diagnostic performance of the Lintula score was compared.

RESULTS

Hoshmer-Lemeshow and ROC curve analysis was performed and area under the curve was 0.922. Predictive accuracy of Lintula score among Turkısh appendicitis patients was statistically significant.

CONCLUSION

Lintula score seems to be useful method to diagnose acute appendicitis among Turkish patients and may reduce the rate of negative appendectomy.

摘要

目的

本研究旨在评估 Lintula 评分在土耳其阑尾炎患者中的预测准确性。

材料和方法

回顾性收集了 156 例经手术诊断为急性阑尾炎患者的数据。Lintula 评分由 9 个变量(性别、疼痛强度、疼痛转移、右下腹痛、呕吐、体温、压痛、肠鸣音和反跳痛)组成,这些变量在 156 例患者中有独立的诊断价值。对所有患者计算 Lintula 评分。确定切除标本的病理结果,并比较 Lintula 评分的诊断性能。

结果

进行了 Hosmer-Lemeshow 和 ROC 曲线分析,曲线下面积为 0.922。Lintula 评分在土耳其阑尾炎患者中的预测准确性具有统计学意义。

结论

Lintula 评分似乎是一种有用的方法,可以诊断土耳其患者的急性阑尾炎,并可能降低阴性阑尾切除术的发生率。

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