دورية أكاديمية
The usefulness and positive predictive value of ultrasonography and computed tomography in the diagnosis of acute appendicitis in adults: A retrospective study.
| العنوان: | The usefulness and positive predictive value of ultrasonography and computed tomography in the diagnosis of acute appendicitis in adults: A retrospective study. |
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| المؤلفون: | Depetris MA; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain., Martínez Chamorro E; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain., Ibáñez Sanz L; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain., Albillos Merino JC; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain., Rodríguez Cuellar E; Servicio de Cirugía General, Hospital Universitario 12 de Octubre, Madrid, Spain., Borruel Nacenta S; Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address: sborruel.hdoc@salud.madrid.org. |
| المصدر: | Radiologia [Radiologia (Engl Ed)] 2022 Nov-Dec; Vol. 64 (6), pp. 506-515. Date of Electronic Publication: 2022 Jun 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 101770876 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5107 (Electronic) Linking ISSN: 21735107 NLM ISO Abbreviation: Radiologia (Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Madrid] : Elsevier España |
| مواضيع طبية MeSH: | Appendicitis*/diagnostic imaging , Appendicitis*/surgery, Humans ; Adult ; Retrospective Studies ; Predictive Value of Tests ; Ultrasonography ; Tomography, X-Ray Computed/methods ; Acute Disease |
| مستخلص: | Objective: To analyze the evolution of the use of imaging tests (ultrasonography and computed tomography (CT)) in the diagnosis of acute appendicitis. To determine the positive predictive value of these tests and the percentage of negative and complicated appendectomies. Material and Methods: This retrospective study compared adults who underwent appendectomy for suspected acute appendicitis at our tertiary hospital during 2015 versus similar patients at our center during 2007. Results: A total of 278patients were included. The rate of negative appendectomies descended to 5%. The positive predictive value of ultrasonography increased to 97.4% in 2015, and the positive predictive value of CT and combined CT and ultrasonography was 100%. The rate of complicated appendicitis increased (23% in 2015). Conclusions: The use of imaging tests increased, and the rate of "blind" laparotomies decreased. Nevertheless, the rate of complicated appendicitis increased. (Copyright © 2020 SERAM. Published by Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Acute appendicitis; Apendicectomías negativas; Apendicitis aguda; Apendicitis gangrenosa; Apendicitis perforada; Computed tomography; Ecografía; Gangrenous appendicitis; Negative appendectomy; Perforated appendicitis; TC; Ultrasonography |
| تواريخ الأحداث: | Date Created: 20221119 Date Completed: 20221122 Latest Revision: 20221122 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.rxeng.2020.10.009 |
| PMID: | 36402536 |
| قاعدة البيانات: | MEDLINE |
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