阿姆斯特丹共识标准对孕产妇血管输血 (MVM) 的可重复性:围产病理学家的多中心评估
Maria Linda Rocha1,2, Thomas Menter3, Sandra Zekic Tomas4
1Institute of Pathology, University Medicine Rostock, Rostock, Germany.
Journal of perinatal medicine
|February 3, 2026
概括
阿姆斯特丹诊断母体血管不输血的标准 (MVM) 在病理学家中显示出较差的interrater可靠性. 为了在胎盘中进行一致的MVM诊断,需要对这些标准进行细化.
科学领域:
- 围产期病理学 围产期病理学
- 生殖医学是一种生殖医学.
- 产科 产科 产科 产科 产科
背景情况:
- 孕产妇血管输血 (MVM) 是一种常见的胎盘诊断,与孕产妇和胎儿的不良结果有关.
- 功能障碍的子宫胎盘循环是MVM的特征.
- 准确的MVM诊断对于临床管理至关重要.
研究的目的:
- 评估MVM阿姆斯特丹标准的评价者间可靠性.
- 评估国际围产病理学家之间的MVM诊断的一致性.
主要方法:
- 12名国际围产病理学家审查了29个数字胎盘组织学切口 (20个MVM,9个对照).
- 应用了阿姆斯特丹研讨会的共识标准.
- 卡帕的统计数据被用来分析观察者之间的一致性.
主要成果:
- 对于最终的MVM诊断,评价者之间的可靠性是轻微到相当的 (卡帕值为0.187-0.260).
- 只有对心脏病发作 (Kappa 0.707) 达成了实质性的协议.
- 其他测试的标准显示没有中等的协议.
结论:
- 目前的MVM诊断标准需要改进.
- 为了在国际上得到一致的MVM诊断,需要改进的标准.
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