Valor da ultra-sonografia abdominal com transdutor multifreqüencial de 5 a 10 mhz no diagnóstico de apendicite

Costa, Juliana Nascimento da; Filho, João Macêdo Coelho; Lima, João L. M. P. de; Mota, Rosa Maria Salani; Filho, Valdecy José de Sousa

doi:10.1590/s0100-39842002000200007

Cited by 2 publications

(1 citation statement)

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“…There were 46 false-negatives, resulting in a negative predictive value of 28.1%, far below the described usually in the literature 3,13,15,18,19 . This can be due to the dichotomization of the report of the ultrasound examination in conclusive and not indicative of the diagnosis of acute appendicitis, hampering the decision of the radiologist in more complex cases.…”

Section: Results Results Results Resultsmentioning

confidence: 66%

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Peixoto

Nunes

Gomes

2011

Rev. Col. Bras. Cir.

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Influence of gender and physical constitution, time evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista We prospectively evaluated 156 patients with clinical diagnosis of acute appendicitis who underwent laparoscopic appendectomy and abdominal ultrasonography, together with pathology of the excised appendices. Patients were allocated in relation to BMI in both groups (below or above 25 kg/m 2 ) and radiologists, in three groups according to their professional experience (less than five years, between five and 10 years and more than 10 years). The survey also assessed the influence of gender and time of disease progression using the median of 36 hours. Results Results ResultsResults Results: The sensitivity and specificity of abdominal ultrasonography for diagnosing appendicitis were 64.9 and 72% respectively. Gender, body mass index, length of experience of the radiologists in the three groups and time of onset of symptoms showed no significant differences in the establishment of sonographic diagnosis of acute appendicitis. Conclusion Conclusion Conclusion Conclusion Conclusion: The abdominal ultrasonography showed low sensitivity and specificity and little contribution to the diagnosis of acute appendicitis. Gender, physical constitution, the experience of the radiologist and time of onset of symptoms did not affect the outcome of the sonography.

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