AI Summary & Key Takeaways
AI InsightHowever, histopathological evaluation indicated the presence of appendicitis in those four patients as well.Conclusion: The study results imply that tomography is a more effective means of diagnosing acute appendicitis as compared to the Alvarado scoring system.
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Abstract
Objective: The aim of this study is to compare the effectiveness of computed tomography and Alvarado scoring system in the diagnosis of acute appendicitis in patients who underwent appendectomy with the preliminary diagnosis of acute appendicitis.Material and Methods: One hundred and one patients who underwent appendectomy with the diagnosis of acute appendicitis between January and December 2011 were included in the study. Alvarado scores were calculated, and abdominal tomography scans were obtained for each patient before surgery. Patients with Alvarado score >=7 were considered to have appendicitis while patients with a score <7 were considered not to have appendicitis. Patients were classified into two groups based on the presence of appendicitis findings on abdominal tomography. Histopathological examination of the appendices was performed following appendectomy. All patients were classified into groups according to pathology results, Alvarado score and tomography findings. The effectiveness of Alvarado score and tomography were compared using the McNemar test.Results: Sixty patients (59.4%) were male and 41 (40.6%) were female, with a mean age of 32 years (5-85 years). The rate of negative appendectomy was 3.9%. In 78 patients (77.3%) the Alvarado score was >=7, while 23 patients (22.7%) had Alvarado scores <7. The presence of appendicitis was determined by histopathology in 22 out of 23 patients whose Alvarado score was <7. Tomography indicated appendicitis in 97 patients (95.9%) whereas four patients (4.1%) exhibited no signs of appendicitis by tomography. However, histopathological evaluation indicated the presence of appendicitis in those four patients as well.Conclusion: The study results imply that tomography is a more effective means of diagnosing acute appendicitis as compared to the Alvarado scoring system.
Özet
Amaç: Bu çalışmanın amacı, apandisit ön tanısı ile ameliyat edilmiş hastalarda Alvarado skorlaması ile tomografinin, akut apandisiti teşhis etmekteki etkinliklerini karşılaştırmaktır.Gereç ve Yöntemler: Ocak-Aralık 2011 tarihleri arasında apandisit teşhisi ile ameliyat edilen 101 hasta çalışmaya alındı. Hastaların tümünde ameliyat öncesi Alvarado skoru hesaplandı ve batın tomografisi çekildi. Alvarado skoru >=7 olan hastalar apandisit olarak kabul edildi, Alvarado skoru =7, 23'ünde (%22,7) <7 hesaplandı. Alvarado skoru <7 olan 23 hastanın 22'sinde histopatolojik olarak apandisit belirlendi. Hastaların 97'sinde (%95,9) tomografide apandisit bulguları görüldü, 4 hastada (%4,1) apandisit bulguları görülmedi. Tomografide apandisit bulgusu görülmeyen 4 hastada histopatolojik olarak apandisit belirlendi.Sonuç: Bu çalışma sonuçlarına göre tomografi, akut apandisit teşhisinde Alvarado skorlamasından daha etkindir.