Alvarado、RIPASA 和 Tzanakis 评分系统在急性阑尾炎诊断中的准确性：一项前瞻性观察研究。

Diagnostic accuracy of Alvarado, RIPASA and Tzanakis scoring system in acute appendicitis: A prospective observational study.

机构信息

Junior resident, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Assistant Professor, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

出版信息

Trop Doct. 2021 Oct;51(4):475-481. doi: 10.1177/00494755211030165. Epub 2021 Jul 14.

DOI:10.1177/00494755211030165

PMID:34259099

Abstract

Our prospective observational study, enrolling 167 patients undergoing emergency appendicectomy, served to evaluate the Alvarado, Tzanakis and RIPASA diagnostic scores. The latter was found to be a better scoring system because of its higher diagnostic accuracy. At centres with limited expertise in ultrasonography, RIPASA outperforms the Tzanakis score. Although easy to use, the Alvarado score was useful only to 'rule in' cases with AA with significant accuracy but at the cost of low sensitivity. It cannot be effectively used in triaging.

摘要

我们的前瞻性观察研究纳入了 167 例接受急诊阑尾切除术的患者，旨在评估 Alvarado、Tzanakis 和 RIPASA 诊断评分。由于其更高的诊断准确性，后者被认为是一种更好的评分系统。在超声检查专业知识有限的中心，RIPASA 优于 Tzanakis 评分。虽然易于使用，但 Alvarado 评分仅对 AA 具有显著准确性的“诊断为阳性”病例有用，但代价是敏感性低。它不能有效地用于分诊。