阿尔瓦拉多、埃斯凯林恩、奥夫曼和 Raja Isteri Pengiran Anak Saleha 用于诊断急性阑尾炎的评分。
Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis scores for diagnosis of acute appendicitis.
机构信息
Hasan Erdem, Süleyman Çetinkünar, Koray Daş, Enver Reyhan, Cumhur Değer, Mehmet Aziret, Hilmi Bozkurt, Selçuk Uzun, Selim Sözen, Oktay İrkörücü, Department of General Surgery, Adana Numune Training and Research Hospital, Adana 01240, Turkey.
出版信息
World J Gastroenterol. 2013 Dec 21;19(47):9057-62. doi: 10.3748/wjg.v19.i47.9057.
AIM
To assess the reliability and practical applicability of the widely used Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring systems in patients with suspected acute appendicitis.
METHODS
Patients admitted to our tertiary center due to suspected acute appendicitis constituted the study group. Patients were divided into two groups. appendicitis group (Group A) consisted of patients who underwent appendectomy and were histopathologically diagnosed with acute appendicitis, and non-appendicitis group (Group N-A) consisted of patients who underwent negative appendectomy and were diagnosed with pathologies other than appendicitis and patients that were followed non-operatively. The operative findings for the patients, the additional analyses from follow up of the patients and the results of those analyses were recorded using the follow-up forms.
RESULTS
One hundred and thirteen patients with suspected acute appendicitis were included in the study. Of the 113 patients (62 males, 51 females), the mean age was 30.2 ± 10.1 (range 18-67) years. Of the 113 patients, 94 patients underwent surgery, while the rest were followed non-operatively. Of the 94 patients, 77 patients were histopathologically diagnosed with acute appendicitis. Our study showed a sensitivity level of 81% for the Alvarado system when a cut-off value of 6.5 was used, a sensitivity level of 83.1% for the Ohmann system when a cut-off value of 13.75 was used, a sensitivity level of 80.5% for the Eskelinen system when a cut-off value of 63.72 was used, and a sensitivity level of 83.1% for the RIPASA system when a cut-off value of 10.25 was used.
CONCLUSION
The Ohmann and RIPASA scoring systems had the highest specificity for the diagnosis of acute appendicitis.
目的
评估广泛使用的 Alvarado、Eskelinen、Ohhmann 和 Raja Isteri Pengiran Anak Saleha 阑尾炎（RIPASA）评分系统在疑似急性阑尾炎患者中的可靠性和实际适用性。
方法
因疑似急性阑尾炎而入住我院的患者构成研究组。将患者分为两组。阑尾炎组（A 组）由接受阑尾切除术且组织病理学诊断为急性阑尾炎的患者组成，非阑尾炎组（N-A 组）由接受阴性阑尾切除术且诊断为阑尾炎以外的其他病理的患者和非手术随访的患者组成。使用随访表记录患者的手术结果、患者的随访附加分析结果和这些分析的结果。
结果
本研究共纳入 113 例疑似急性阑尾炎患者。113 例患者中（男 62 例，女 51 例），平均年龄为 30.2 ± 10.1（18-67）岁。113 例患者中，94 例行手术治疗，其余患者行非手术治疗。94 例患者中，77 例组织病理学诊断为急性阑尾炎。本研究显示，当截断值为 6.5 时，Alvarado 系统的敏感性为 81%，当截断值为 13.75 时，Ohmann 系统的敏感性为 83.1%，当截断值为 63.72 时，Eskelinen 系统的敏感性为 80.5%，当截断值为 10.25 时，RIPASA 系统的敏感性为 83.1%。
结论
Ohmann 和 RIPASA 评分系统对急性阑尾炎的诊断具有最高的特异性。
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