阿尔瓦拉多评分在诊断急性阑尾炎中的评估
Evaluation of Alvarado score in diagnosing acute appendicitis.
作者信息
Awayshih Mahmoud Musa Al, Nofal Mohammad Nabih, Yousef Ali Jad
机构信息
General Surgery and Anesthesia Department, College of Medicine, Mutah University, Karak, Jordan.
出版信息
Pan Afr Med J. 2019 Sep 6;34:15. doi: 10.11604/pamj.2019.34.15.17803. eCollection 2019.
Abstract
Using a practical scoring system for diagnosing acute appendicitis can help reduce the rate of unnecessary surgery. This prospective study was carried out to evaluate Alvarado scoring system for diagnosing of acute appendicitis in our set up. Out of total 100 patients, appendicitis was confirmed in 80 patients, thus giving negative appendectomy rate of 20% (male 6%, female 14%). Perforation rate was 4%. Positive predictive value was 89%. The sensitivity was 54% and specificity 75%. Alvarado score is not a sensitive tool for aiding diagnosis of acute appendicitis.
摘要
使用一种实用的急性阑尾炎诊断评分系统有助于降低不必要的手术率。本前瞻性研究旨在评估我们所采用的阿尔瓦拉多（Alvarado）评分系统对急性阑尾炎的诊断价值。在总共100例患者中，80例确诊为阑尾炎，因此阴性阑尾切除率为20%（男性6%，女性14%）。穿孔率为4%。阳性预测值为89%。敏感性为54%，特异性为75%。阿尔瓦拉多评分并非辅助诊断急性阑尾炎的敏感工具。
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