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可以应用YEARS算法来评估在剖腹产后住院妇女怀疑肺栓塞的情况吗?

Yuxia Wu^1,2, Dan Shan^2,3, Qian Chen^2,3

¹Department of Ultrasound, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

|May 15, 2024

概括

YEARS算法显示,在剖腹产后的产后妇女中,有可能排除肺栓塞 (PE). 然而,它的低特异性需要进一步优化D-二次元值,以准确排除PE.

科学领域:

产科和妇科产科和妇科
心脏病学心脏病学
放射学放射学是一门学科.

背景情况:

肺栓塞 (PE) 是女性剖腹产后的一个重大风险.
在这个高风险人群中,准确及时诊断PE至关重要.
现有的诊断算法可能需要在特定的产后情景中进行验证.

研究的目的:

评估YEARS算法在剖腹产后住院妇女中排除PE的有效性.
为了确定YEARS算法在产后早期的适用性和性能.

主要方法:

对于在剖腹产后怀疑PE而接受CT肺血管造影 (CTPA) 的225名妇女 (2015-2021) 的回顾性分析.
追溯应用YEARS算法来识别符合PE排除条件的女性.
对算法性能与D-二次元水平的结合进行评估.

主要成果:

肺栓塞 (PE) 通过CTPA在12.9%的研究队列中得到证实.
根据YEARS算法,83.6%的女性没有PE风险项目.
将YEARS与D-二次体水平相结合,允许在5.3%的女性中进行非CTPA评估,所有女性都没有PE.

结论:

在剖腹产后的产后妇女中,可以考虑使用YEARS算法排除PE.
该算法表现出低的特异性,表明需要进一步研究.
建议优化D-二次元切线值,以改善PE排除在这个特定的人口群体中.

关键词:

这就是为什么CTPA是CTPA.年的算法算法.剖腹产是一个剖腹产.住院的妇女住院的妇女在分娩后的产后.肺栓塞肺栓塞是一种肺栓塞.

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