HaiMed难愈性创面人工智能辅助系统在创面测量中的应用

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目的:评估HaiMed难愈性创面人工智能辅助系统在创面测量中的准确性及实用性。方法:根据入选标准选取北京大学第三医院成形外科2019年1至8月诊治的慢性创面患者20例,男12例,女8例,年龄20~76岁,其中术后愈合不良创面9例,糖尿病足创面6例,压疮4例,肿瘤创面1例。分别采用传统的透明膜勾边法和HaiMed难愈性创面人工智能辅助系统对20例创面面积进行测量。对2组创面面积测量结果进行配对n t检验,应用Spearman简单相关分析、Bland-Altman评价以及变异系数,对HaiMed系统的准确性、稳定性进行统计分析。n P<0.05为差异有统计学意义。n 结果:HaiMed难愈性创面人工智能辅助系统与传统测量工具相比,在创面面积测量中差异无统计学意义(n t=1.997,n P=0.060),2种方法的Spearman相关系数n r=0.998,两者一致性好。Bland-Altman评价示所有散点均落于95%一致性界限内,HaiMed系统准确性可靠。透明膜勾边法组变异系数最小0.41%,最大4.03%,平均1.67%;HaiMed组变异系数最小0.15%,最大2.31%,平均0.60%,HaiMed系统较传统测量方法有更高的稳定性。n 结论:HaiMed难愈性创面人工智能辅助系统测量创面面积准确性高、稳定性好,尤其对于浅表创面,可进行简便快捷的创面评估,是一套新型、可靠的创面测量工具。“,”Objective:To assess the accuracy and practicability of HaiMed refractory wound artificial intelligence assisted system in wound measurement.Methods:Twenty patients with chronic wounds who were diagnosed and treated from January 2019 to August 2019 in the Plastic Surgery Department of Peking University Third Hospital, including 12 males and 8 females, aged 20-76 years old. The cases included 9 poorly healed wounds, 6 diabetic foot wounds, 4 cases of pressure sores, and 1 case of tumor wounds. The traditional transparent film method and HaiMed system were used to measure the wound area of 20 cases. A paired n t-test was performed on the measurement result of the two groups of wound area, and the accuracy and stability of the HaiMed system were statistically analyzed by Spearman simple correlation analysis, Bland-Altman evaluation and coefficient of variation. n P<0.05 indicated that the difference was statistically significant.n Results:Compared with traditional measurement tools, HaiMed system had no statistically significant difference in wound area measurement (n t=1.997, n P=0.060). The Spearman correlation coefficient (n r=0.998) of the two method was consistent. Bland-Altman’s evaluation showed that all scattered points fell within the 95% consistency limit, and the HaiMed system was accurate and reliable. The minimum coefficient of variation of the transparent film hem method group was 0.41%, the maximum was 4.03%, and the average was 1.67%; the coefficient of variation of the HaiMed group was minimum 0.15%, the maximum was 2.31%, and the average was 0.60%. The two had good consistency, and the HaiMed system had higher stability than traditional measurement method.n Conclusions:HaiMed system measures the wound area with high accuracy and good stability, especially for superficial wounds. It can be easily and quickly evaluated. HaiMed system is a new and reliable wound measurement tool.
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