儿科患者肺胸部的测量方法:系统性审查
Grant S Owen1, Kelly A Harmon1, Gwyneth A Sullivan2
1Rush Medical College, Rush University Medical Center, Chicago, IL, USA.
Pediatric surgery international
|March 13, 2024
概括
在儿童中,精确测量肺胸 (PTX) 大小至关重要. 由于其准确性,柯林斯方法目前是首选的,尽管为了一致的临床实践,需要针对儿科的具体指导方针.
科学领域:
- 儿科放射学 儿科放射学
- 胸部成像 胸部成像
- 临床决策支持 临床决策支持
背景情况:
- 精确测量肺胸 (PTX) 大小对于儿科患者的临床决策至关重要.
- 目前在胸部X射线 (CXR) 上测量PTX大小的方法在儿科护理中缺乏标准化的共识.
研究的目的:
- 通过CXR系统地审查和评估用于测量儿科患者PTX大小的方法.
- 确定现有的测量技术,并评估其应用和文献中的比较.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 搜索的数据库包括到2021年的Ovid/MEDLINE,Scopus,Cochrane和谷歌学者.
- 包括专注于儿科患者 (18岁以下) 的研究和详细的PTX测量方法.
主要成果:
- 分析了45项研究,对方法 (Kircher和Swartzel,Rhea,Light,Collins,其他) 和指导方针进行了分类.
- 柯林斯方法是最常用的 (35.6%).
- 只有8.9%的研究比较了验证的方法,所有研究都发现柯林斯方法的准确性. 在分类指南之间发现了显著的分歧.
结论:
- 需要针对儿科的PTX测量指南,以确保研究和临床实践的一致性.
- 目前,柯林斯方法是儿童患者PTX大小测量的首选方法.
- 需要进一步的研究来开发和验证标准化的儿科PTX测量协议.
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