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在卧卧的姿势下,通过超声波量化胸腔溢液体积:比较三种模型配方
Dachuan Tang1, Huiming Yi1, Wei Zhang2
1Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong university of Science and Technology, Wuhan, Hubei, 430030, China.
BMC pulmonary medicine
|July 4, 2024
概括
超声波模型准确地估计躺卧患者的肺溢液 (PE) 量. 两部分模型为PE体积的常规临床评估提供了一种方便而准确的方法.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 诊断性的超声波检查
背景情况:
- 胸腔溢液 (PE) 的诊断和管理需要精确的体积评估.
- 超声波是PE评估的常见成像方式.
- 需要使用标准化方法来超声波量化PE体积,特别是在卧床患者中.
研究的目的:
- 评估三种超声波模型公式的准确性,以量化多叶流量体积.
- 为了比较单,双和多部分模型的可靠性,以估计卧床患者的PE体积.
主要方法:
- 一项前性研究涉及100名接受PE排水胸腔切除术的患者.
- 应用了三个超声模型公式 (单段,双段和多段) 来计算PE体积.
- 在计算和实际PE体积之间进行了相关性和一致性分析.
主要成果:
- 这三种模型都显示出与实际PE体积 (p < 0.001) 有显著的线性相关性.
- 多部分模型显示出最高可靠性,紧随其后的是两部分模型.
- 实际排水量的类内相关系数 (ICC) 为0.72 (单段),0.97 (两段) 和0.99 (多段).
- 在整个PE体积范围 (ICC = 0.98) 中,在两部分和多部分模型之间观察到很好的一致性.
结论:
- 两部分超声波模型提供了一种方便而准确的方法,用于例行评估膜溢出体积.
- 虽然多部分模型的准确性略高,但在临床实践中建议使用两部分模型.
- 模型选择可以根据PE量化特定临床要求进行量化.
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