惊!有多少人知道?美国不建议做这些检查!!!

2016-09-20 小易(编译) 医学论坛网

导语:近日,美国临床病理学会(ASCP)对其明智之选活动(Choosing Wisely campaign)增加了5条新建议,以便减少不必要的检测。建议中所提及的不必要的检测,要么无益,要么费用高昂,要么效果不突出,甚至可能有害。具体是哪5项建议呢,来看看吧!1. 对于早期较薄的黑色素瘤,不要进行前哨淋巴结活检或其他诊断检测因为这些检测并不能改善患者的生存。美国国家综合癌症网络(NCCN)建议,不

导语:近日,美国临床病理学会(ASCP)对其明智之选活动(Choosing Wisely campaign)增加了5条新建议,以便减少不必要的检测。建议中所提及的不必要的检测,要么无益,要么费用高昂,要么效果不突出,甚至可能有害。具体是哪5项建议呢,来看看吧!


1. 对于早期较薄的黑色素瘤,不要进行前哨淋巴结活检或其他诊断检测


因为这些检测并不能改善患者的生存。美国国家综合癌症网络(NCCN)建议,不要对病变≤0.75mm厚的1A或1B期黑色素瘤进行前哨淋巴结活检。不过,对于出现高风险特征的罕见病例,是否行前哨淋巴结活检应由医生和患者决定。


2.筛查心血管疾病时,不要常规扩大血脂(颗粒大小、磁共振)检查项目


标准的血脂谱包括,总胆固醇、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇和甘油三酯。目前,脂蛋白测定方法有许多,根据其大小、密度和价数等有不同检测方法。但是,对于中高危患者,该选用何种脂蛋白测定方法,以改善其心血管疾病的风险评估,并指导降脂治疗?还应根据患者的个体情况而定。评估冠心病患者重复脂质检测的频率及其相关因素的研究表明,LDL-C<100mg/dl的个体并不能从强化降低治疗中获得额外的益处。


3. 对于疑似急性胰腺炎,不要检测淀粉酶,要检测脂肪酶


优先选用血清脂肪酶法诊断急性胰腺炎的原因是:敏感性更强,尤其是对于由酒精引起的胰腺炎,而且其诊断窗口期也较长。当前指南表明,对于急性胰腺炎的初步诊断,应该优先选用脂肪酶而不是总淀粉酶和胰淀粉酶。此外,并无必要同时检测脂肪酶和淀粉酶,因其较两者单一检测的增加的诊断价值甚微,而且也增加了检查费用。


4. 用粪便抗原法或呼吸试验法诊断幽门螺杆菌感染,不要用血清学方法检测


粪便抗原法等无创检测法,检测幽门螺杆菌感染的临床利用率高,而且具有较高的敏感性和特异性。相反,血清学方法诊断幽门螺杆菌却被认为不具临床益处。而且美国胃肠病学会(ACG)和美国胃肠病协会(AGA)均推荐,优先选择呼气试验法或粪便抗原法作为活性幽门螺杆菌感染的检测方法。


5. 在诊断血细胞减少症患者是否存在骨髓增生异常综合征时,只要获得了足够多的常规核型骨髓样本,就不必再对收集到的骨髓样本实施荧光原位杂交检测因为研究证明增加此项检测价值不高,而且费用贵。

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    2017-05-28 周虎
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    2016-10-11 1e10c84am36(暂无匿称)

    好文章,长见识

    0

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    2016-09-24 187清风

    学习了。谢谢分享

    0

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    2016-09-22 lhl629

    谢谢分享,继续学习。

    0

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    2016-09-21 1decafd9m46(暂无匿称)

    好想知道全部明智之选啊

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2081057, encodeId=1b3a208105eae, content=<a href='/topic/show?id=846b20389cd' target=_blank style='color:#2F92EE;'>#不建议#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20389, encryptionId=846b20389cd, topicName=不建议)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9d3459, createdName=周虎, createdTime=Sun May 28 02:56:00 CST 2017, time=2017-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144386, encodeId=858f14438654, content=好文章,长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Oct 11 15:05:09 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134120, encodeId=b2231341200b, content=学习了。谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 08:22:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133215, encodeId=b0a713321543, content=谢谢分享,继续学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ceb079804, createdName=lhl629, createdTime=Thu Sep 22 19:36:00 CST 2016, time=2016-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=132671, encodeId=aae31326e1a9, content=好想知道全部明智之选啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRtNT7AWKboIfjpeY6Nw6lNxAc4w1aibutHSqCJ2c3AbwfqpRia4IrnzU2mK3Ojx2Har8AUUyhC0kl7/0, createdBy=ecc31722157, createdName=1decafd9m46(暂无匿称), createdTime=Wed Sep 21 22:34:00 CST 2016, time=2016-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=132318, encodeId=5fa31323181b, content=学习了啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5e291719269, createdName=大旺旺, createdTime=Wed Sep 21 12:02:00 CST 2016, time=2016-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=131941, encodeId=4f7f13194137, content=现在单位体检都用呼吸检查幽门螺旋杆菌了, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6fibCVn110eO6Fmj1icYfAFcyAicShmM98RziamvkSSc2BNnz1YmoPTJsqickP5hYGPOBGzic3XOtYQarA/0, createdBy=90d41953592, createdName=zyzyyzyz, createdTime=Wed Sep 21 01:13:00 CST 2016, time=2016-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=131598, encodeId=a48c131598fe, content=学习了点赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3a411691127, createdName=1de5aaa9m95(暂无匿称), createdTime=Tue Sep 20 21:12:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=131523, encodeId=c02b13152384, content=这就是技术的差别,国外研究先进的技术,国内研究如何盈利。, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Sep 20 18:12:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=131520, encodeId=8d851315203a, content=筛查心血管疾病时,不要常规扩大血脂(颗粒大小、磁共振)检查项目, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Sep 20 18:11:00 CST 2016, time=2016-09-20, status=1, ipAttribution=)]
    2016-09-21 大旺旺

    学习了啊

    0

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    2016-09-21 zyzyyzyz

    现在单位体检都用呼吸检查幽门螺旋杆菌了

    0

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    2016-09-20 1de5aaa9m95(暂无匿称)

    学习了点赞

    0

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    2016-09-20 医路开来

    这就是技术的差别,国外研究先进的技术,国内研究如何盈利。

    0

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    2016-09-20 医路开来

    筛查心血管疾病时,不要常规扩大血脂(颗粒大小、磁共振)检查项目

    0

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