高度提示脊柱结核的标准的制定。
Development of Criteria Highly Suggestive of Spinal Tuberculosis.
作者信息
Javed Gohar, Laghari Altaf Ali, Ahmed Syed Ijlal, Madhani Sarosh, Shah Ahmed Ali, Najamuddin Faizuddin, Khawaja Reehana
机构信息
Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
出版信息
World Neurosurg. 2018 Aug;116:e1002-e1006. doi: 10.1016/j.wneu.2018.05.149. Epub 2018 May 31.
BACKGROUND
In a developing country there is a need for development of criteria that can be used for the diagnosis of spinal tuberculosis, which is common in that region.
METHODS
Demographic, clinical, and radiologic features of spinal tuberculosis and spinal epidural tumors have been compared statistically, and inferences have been drawn in terms of P values, sensitivity, specificity, positive predictive values, and negative predictive values.
RESULTS
A statistically significant relationship was found between spinal tuberculosis and spinal pain, fever, gradually progressive lower limb weakness, contrast-enhancing epidural ± paravertebral lesions, continuous levels affected, spinal deformity, and raised erythrocyte sedimentation rate.
CONCLUSIONS
These relationships were considered the most probable criteria for the diagnosis of spinal tuberculosis.
背景
在一个发展中国家，需要制定可用于诊断脊柱结核的标准，脊柱结核在该地区很常见。
方法
对脊柱结核和脊柱硬膜外肿瘤的人口统计学、临床和放射学特征进行了统计学比较，并根据P值、敏感性、特异性、阳性预测值和阴性预测值得出推论。
结果
发现脊柱结核与脊柱疼痛、发热、逐渐进展的下肢无力、硬膜外±椎旁病变强化、受累节段连续、脊柱畸形以及红细胞沉降率升高之间存在统计学显著关系。
结论
这些关系被认为是诊断脊柱结核最可能的标准。
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