对盆腔静脉疾病的分数或分级系统进行范围审查
Konstantinos Kavallieros1, Tasneem Pope1, Konstantinos Mantonanakis2
1Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Journal of vascular surgery. Venous and lymphatic disorders
|April 27, 2024
概括
这次审查发现了许多盆腔静脉疾病 (PeVD) 的评分系统,但没有一个被验证用于查或评估疾病严重程度. 开发验证的工具对于更好的PeVD诊断和管理至关重要.
科学领域:
- 血管医学 血管医学
- 妇科 妇科 妇科 妇科
- 放射学 放射学是指放射学
背景情况:
- 盆腔静脉疾病 (PeVD) 是女性慢性盆腔疼痛的重要原因之一.
- 对PeVD的低诊断源于缺乏标准化的诊断标准和复杂的跨学科分类.
- 这导致受影响个人的诊断和治疗延迟.
研究的目的:
- 进行范围审查,以确定所有现有的PeVD评分和分级系统.
- 为开发用于PeVD诊断和管理的标准化临床评分工具奠定基础.
- 为弥补目前PeVD评估和治疗方面的差距.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在2023年4月之前在线数据库中搜索了关于PeVD评分或分级系统的研究.
- 包括用于确认或怀疑PeVD的评分系统的研究,根据应用 (查,诊断,严重程度,治疗反应) 将其分类.
主要成果:
- 包括20项研究,确定了21种不同的评分或分级系统.
- 10个系统是临床的,10个是放射的,1个使用了两者.
- 大多数系统评估疾病严重程度 (38.1%) 或治疗反应 (38.1%),只有3个验证系统被确定.
结论:
- 对于PeVD存在大量的评分和分级系统.
- 对于PeVD查和严重性评估,存在严重缺乏经过验证的临床和放射学评分系统.
- 开发经过验证的,针对疾病的评分系统对于改善患者查,转诊和治疗监测至关重要.
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