开发和验证TELL评分 (多叶膜加厚 (T),流体声原性 (E),定位 (L) 和侧面性 (L)):一种结构化超声波方法来分类多叶膜溢出
Rishab Rampradeep1, Gangadharan Vadivelu1
1Respiratory Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND.
Cureus
|December 12, 2025
概括
新的TELL分数,一个床边超声波工具,准确地识别了多流液. 这种快速,非侵入性的方法在实验室结果延迟时,为诊断出泄液提供了高灵敏度.
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.
- 临界护理医学 临界护理医学
背景情况:
- 目前的胸腔溢血分类依赖于莱特的标准,需要侵入性手术和实验室基础设施.
- 这些方法可能容易产生错误分类,并且在资源有限的环境中不太可行.
- 迫切需要一个快速的,床边诊断的替代方案,用于流.
研究的目的:
- 开发和验证一种新的四点超声波评分系统,即TELL评分.
- 用超声波在床边区分腹腔溢出.
- 根据Light的标准,评估TELL得分的诊断性能.
主要方法:
- 这是一项前性观察性研究,涉及74名患有流症的成年患者.
- 胸部超声波被用于评估四个TELL参数:膜加厚,液体回声性,横向性和局部性.
- 使用诊断指数和ROC曲线分析,TELL分数与Light的标准进行了比较.
主要成果:
- 该研究包括74名参与者;86.5%的液是排泄物 (肺结核,恶性病).
- 超声波特征 (加厚,回声性,定位,单边分布) 在排泄物中明显更常见 (p < 0.01).
- 在切线≥2时,TELL得分显示98.4%的灵敏度,40%的特异性,AUC为0.79.
结论:
- 泰尔评分 (TELL) 是一种快速,非侵入性查工具,用于诊断腹腔溢液.
- 它表现出高灵敏度和负预测值,在实验室确认延迟时证明有价值.
- 建议在更大的队列中进行进一步的多中心验证.
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