捏提试验在急性阑尾炎诊断中的价值 |
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引用本文: | 徐林,彭开勤,张应天,全卓勇,邵永胜,余阳. 捏提试验在急性阑尾炎诊断中的价值[J]. 腹部外科, 2011, 24(5): 293-294. DOI: 10.3969/j.issn.1003-5591.2011.05.017 |
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作者姓名: | 徐林 彭开勤 张应天 全卓勇 邵永胜 余阳 |
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作者单位: | 江汉大学附属医院普通外科, 武汉,430015 |
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摘 要: | 目的探讨捏提试验在急性阑尾炎诊断中的价值。方法2008年1月至2010年12月拟诊急性阑尾炎并行阑尾切除术的病人323例,体检时均行捏提试验、Rovsing征及Markle征,分别计算特异性、敏感度及阳性预测值;并比较捏提试验阳性和阴性病人之间阴性阑尾切除率。结果捏提试验的特异性和敏感度分别为80.9%和75.7%;捏提试验的阳性预测值为95.9%,高于Rovs—ing征(87.3%)及Markle征(92.0%);捏提试验阳性病人的阴性阑尾切除率为4.1%,捏提试验阴性病人的阴性阑尾切除率为36.2%,两者比较,差异有统计学意3L(X^2=43.46,P〈0.05)。结论应用捏提试验能提高急性阑尾炎的诊断率,显著降低阴性阑尾切除率。
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关 键 词: | 阑尾炎 急性病 阑尾切除术 捏提试验 |
Application of Pinch-an-inch test in diagnosis of acute appendicitis |
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Affiliation: | XU Lin, PENG Kai-qin, ZHANG Ying-tian , et al( Department of Gastrointestinal Surgury , the Affiliated Hospital of J ianghan University, Wuhan 430015, China) |
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Abstract: | Objective To study the-application of pinch-an-inch test in the diagnosis of acute appendicitis. Methods We prospectively studied 323 patients with acute appendicitis from Jan. 2008 to Dec. 2010. All patients were subjected to pinch-an-inch test, Rovsing sign and Markle sign. The sensitivity, specificity and positive predictive value were analyzed. The negative appendectomy rate was compared between the pinch-an-inch positive and negative groups. Results The sensitivity and specificity of pinch-an-inch test was 80. 9% and 75.7% ;The positive predictive value of pinch-an-inch was 95.9 %; There was significant difference in the negative appendectomy rate between the pinch-an-inch positive (4. 1%) and negative(36. 2 %) groups. Conclusion The application of pinch-an-inch test can improve diagnosis accuracy of acute appendicitis, and reduce the negative appendectomy rate. |
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Keywords: | Appendicitis Acute disease Appendectomy Pinch-an-inch test |
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