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Tina Moon¹, Thomas F O'Donnell², Derek Weycker³

¹Department of Surgery, Tufts Medical Center, Boston, MA.

Journal of vascular surgery. Venous and lymphatic disorders

|December 16, 2023

概括

在美国,淋巴切片 (LSG) 很少用于诊断淋巴 (LED),尽管指南建议使用它. 这凸显了对淋巴结胀更简单的诊断工具的需求.

科学领域:

血管医学血管医学
诊断成像诊断成像诊断成像
医疗信息学医疗信息学

背景情况:

淋巴 (LED) 诊断缺乏标准化,非侵入性测试,与动脉或静脉疾病不同.
淋巴细胞切片 (LSG) 是指南推用于LED诊断,但事证据表明使用不频繁.
临床检查通常是诊断LED的主要方法.

研究的目的:

评估LSG在美国大量淋巴患者群体中的实际使用情况.
为了比较经过LSG和没有接受LSG的患者之间的人口形状,并发症和LED病因.

主要方法:

分析IBM MarketScan研究数据库 (2012年4月 - 2020年3月) 针对新的LED诊断的患者.
使用现行程序术语代码识别了LSG的使用,但不包括用于瘤手术的使用.
基于LSG利用的患者人口统计学,并发病症和LED病因的表征.

主要成果:

在57,674名确诊的LED患者中,只有2.5% (1429) 接受了LSG.
与非LSG组相比,LSG队列更年轻,有更多的女性,并较少的并发症 (糖尿病,心力衰竭,高血压,肥胖).
根据LED病因,LSG的使用有很大差异,在与黑色素瘤相关的LED (9.5%) 和与乳腺癌相关的LED (6.7%) 中最高,在与静脉疾病相关的LED (1.1%) 中最低.

结论:

尽管有指导方针建议,但LSG在美国诊断淋巴瘤方面发挥的作用很小.
不经常使用LSG强调了需要改进的,简单的淋巴的诊断测试.
目前的淋巴的诊断实践可能更多地依赖于临床评估,而不是推的成像.

关键词:

淋巴结的淋巴结是指淋巴结的淋巴系统疾病淋巴系统疾病淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edemema 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴 edem 淋巴细胞切割图 (Lymphoscintigraphy) 是一种淋巴细胞切割图.

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