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小儿阑尾外径的超声评估。

Ultrasonographic evaluation of cecal appendix diameter in pediatric population.

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2022 Jul 4;20:eAO6935. doi: 10.31744/einstein_journal/2022AO6935. eCollection 2022.

DOI:10.31744/einstein_journal/2022AO6935
PMID:35792758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9239537/
Abstract

OBJECTIVE

To stratify ultrasound samples in a pediatric population undergoing evaluation for acute appendicitis to examine the variability in cecal appendix diameter, in different age groups, and to determine whether there is a prevalent value for each age group.

METHODS

A retrospective cross-sectional study with 196 children aged 0 to 15 years. Data were extracted from reports of ultrasound examinations carried out between 2008 and 2015. Children with sonographic diagnosis of appendicitis or other signs of periappendiceal inflammation were excluded.

RESULTS

The evaluation of the anteroposterior measurement of the cecal appendix revealed a mean diameter of 4.14mm (standard deviation: 0.93mm; 95%CI: 3.86-4.14). Cecal appendix diameter did not differ significant between age groups.

CONCLUSION

Evaluation of the anteroposterior diameter of the cecal appendix in centimeters in a sample of 196 children aged 0 to15 years revealed a mean diameter of 4.14mm (standard deviation, 0.93mm. There were no significant differences in cecal appendix diameter following stratification by age. Results indicate a single value can be adopted for mean cecal appendix diameter in pediatric populations.

摘要

目的

对接受急性阑尾炎评估的儿科人群的超声样本进行分层,以检查不同年龄组盲肠阑尾直径的变化,并确定每个年龄组是否存在常见值。

方法

这是一项回顾性的病例对照研究,共纳入 196 名 0 至 15 岁的儿童。数据来自 2008 年至 2015 年进行的超声检查报告。排除了超声诊断为阑尾炎或其他阑尾周围炎症迹象的儿童。

结果

对盲肠阑尾前后径的评估显示平均直径为 4.14mm(标准差:0.93mm;95%CI:3.86-4.14)。不同年龄组之间盲肠阑尾直径无显著差异。

结论

对 196 名 0 至 15 岁儿童的盲肠阑尾前后径进行评估,结果显示平均直径为 4.14mm(标准差,0.93mm)。根据年龄分层,盲肠阑尾直径无显著差异。结果表明,在儿科人群中可以采用单个均值来表示盲肠阑尾直径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/162f5b364807/2317-6385-eins-20-eAO6935-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/30d9ce54fa17/2317-6385-eins-20-eAO6935-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/7c9d346e2537/2317-6385-eins-20-eAO6935-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/55ea0b35b538/2317-6385-eins-20-eAO6935-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/162f5b364807/2317-6385-eins-20-eAO6935-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/30d9ce54fa17/2317-6385-eins-20-eAO6935-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/7c9d346e2537/2317-6385-eins-20-eAO6935-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/55ea0b35b538/2317-6385-eins-20-eAO6935-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c0/9239537/162f5b364807/2317-6385-eins-20-eAO6935-gf05.jpg

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本文引用的文献

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Improving diagnostic accuracy in clinically ambiguous paediatric appendicitis: a retrospective review of ultrasound and pathology findings with focus on the non-visualised appendix.提高临床不明确性小儿阑尾炎的诊断准确性:超声与病理检查结果的回顾性分析,重点关注未可视化阑尾。
Br J Radiol. 2019 Jan;92(1093):20180585. doi: 10.1259/bjr.20180585. Epub 2018 Sep 12.
2
Development and validation of an ultrasound scoring system for children with suspected acute appendicitis.疑似急性阑尾炎儿童超声评分系统的开发与验证
Pediatr Radiol. 2015 Dec;45(13):1945-52. doi: 10.1007/s00247-015-3443-4. Epub 2015 Aug 18.
3
Pediatric appendiceal ultrasound: accuracy, determinacy and clinical outcomes.
小儿阑尾超声检查:准确性、确定性及临床结果
Pediatr Radiol. 2015 Dec;45(13):1934-44. doi: 10.1007/s00247-015-3432-7. Epub 2015 Aug 18.
4
Does appendiceal diameter change with age? A sonographic study.阑尾直径会随年龄变化吗?一项超声研究。
AJR Am J Roentgenol. 2014 Nov;203(5):1120-6. doi: 10.2214/AJR.13.12205.
5
RSNA centennial article: ALARA 1912: "As low a dose as possible" a century ago.RSNA百年纪念文章:1912年的合理可达到的最低辐射剂量:一个世纪前的“尽可能低的剂量”
Radiographics. 2014 Sep-Oct;34(5):1457-60. doi: 10.1148/rg.345130136.
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Acute appendicitis: investigating an optimal outer appendiceal diameter cut-point in a pediatric population.急性阑尾炎:探究儿科人群中阑尾外径的最佳切点
J Emerg Med. 2014 Feb;46(2):157-64. doi: 10.1016/j.jemermed.2013.08.027. Epub 2013 Oct 7.
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Changes in the length and diameter of the normal appendix throughout childhood.儿童期正常阑尾长度和直径的变化。
J Pediatr Surg. 2013 Jul;48(7):1535-9. doi: 10.1016/j.jpedsurg.2013.02.035.
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Performance of ultrasound in the diagnosis of appendicitis in children in a multicenter cohort.超声在多中心队列中儿童阑尾炎诊断中的表现。
Acad Emerg Med. 2013 Jul;20(7):697-702. doi: 10.1111/acem.12161.
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Acad Radiol. 2012 Nov;19(11):1382-94. doi: 10.1016/j.acra.2012.06.014. Epub 2012 Sep 2.
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