胸外超声检查预测排泄性膜溢出病因
Wanling Huang1, Chaofan Yuan1, Kinner M Patel2
1Division of Pulmonary, Critical Care & Sleep Medicine, Stony Brook University Hospital, Stony Brook, New York, USA.
概括
胸外超声波 (TUS) 可以帮助诊断腹腔溢出. 隔离和局部等发现是排泄性排泄的特定指标,包括复杂的肺膜排泄和肺.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 胸腔溢出需要诊断才能有效治疗.
- 侵袭性采样通常是必要的,带来风险.
- 胸外超声波 (TUS) 显示出诊断潜力,但缺乏标准化的应用.
研究的目的:
- 为了评估特定的TUS发现的诊断实用性,用于排泄性多溢液.
- 为了识别TUS特征预测复杂的肺和肺.
主要方法:
- 对389例超声导 Pleural effusion 排水病例 (2015年7月 - 2023年5月) 的回顾性审查.
- 分析TUS发现,包括无声,纤维素,隔离,定位等.
- 敏感度,特异性,PPV,NPV和LR+的计算,用于预测溢出性质和病因.
- 多变量逻辑回归以评估TUS发现与复杂的肺外泄和肺内的关联.
主要成果:
- 排泄性排泄物 (64.8%) 显示出更多的隔膜,局部和膜加厚,而不是透汗性排泄物.
- 缺少纤维素,隔离和局部有83%的传性输出敏感度.
- 隔离和定位显示出98%的特异性和94%的PPV排泄性输出.
- 同时的纤维素,定位和隔离具有99%的特异性和96%的PPV排泄性排泄.
- 隔膜 (OR 5.3) 和局部 (OR 3.3) 独立地与复杂的肺部喷液/肺有关.
结论:
- 局部或隔离的TUS特征是排泄性多流的特定预测因素.
- 隔离和局部的存在增加了复杂的肺或肺的可能性.
- 需要进一步的研究,以将TUS与临床数据整合起来,以便全面诊断腹腔溢液.
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