关键词: Abdominal pain Abdominal wall Carnett’s test Differential diagnosis

Mesh : Humans Abdominal Pain / diagnosis etiology therapy Abdominal Muscles Abdominal Wall Pain Management Visceral Pain Chronic Pain / diagnosis etiology

来  源:   DOI:10.1007/s11916-024-01223-9

Abstract:
OBJECTIVE: Chronic abdominal wall pain is a poorly recognized cause of chronic abdominal pain, and patients frequently go misdiagnosed despite a battery of medical tests. The Carnett\'s test is a diagnostic tool used to distinguish between abdominal wall pain and visceral pain. This review synthesizes the current literature on the Carnett\'s test, merges the viewpoints of diverse writers, and evaluates and reports on the Carnett\'s test\'s applicability.
RESULTS: Several clinical investigations have established the usefulness of the Carnett\'s test in the diagnosis of chronic abdominal wall pain. Furthermore, the Carnett\'s test is quite useful in determining the depth of the mass and detecting psychogenic abdominal pain. However, its diagnostic use for acute abdominal pain is limited. The Carnett\'s test is a simple and safe point-of-care diagnostic technique, with several studies supporting its usefulness. Early detection of abdominal wall pain is critical for chronic abdominal wall pain therapy. Carnett\'s test is very useful in patients with chronic, unexplained local abdominal discomfort who are compliant and do not have a clear rationale for surgery.
摘要:
目的:慢性腹壁疼痛是慢性腹痛的一个鲜为人知的原因,尽管进行了一系列医学检查,患者还是经常被误诊。Carnett测试是一种诊断工具,用于区分腹壁疼痛和内脏疼痛。这篇综述综合了目前关于卡内特测试的文献,融合了不同作家的观点,并评估和报告卡尼特测试的适用性。
结果:一些临床研究证实了Carnett检验在慢性腹壁疼痛诊断中的有用性。此外,Carnett的测试对于确定肿块的深度和检测心因性腹痛非常有用。然而,它对急性腹痛的诊断用途有限。Carnett的测试是一种简单安全的即时诊断技术,有几项研究支持它的有用性。早期发现腹壁疼痛对于慢性腹壁疼痛治疗至关重要。Carnett的测试对慢性病患者非常有用,原因不明的局部腹部不适,顺从,没有明确的手术理由。
公众号