产科易栓症的辅助检查和过度检查OA

Thrombophilia serves as a critical pathological basis for multiple adverse pregnancy outcomes,including venous thromboembolism(VTE)in pregnancy,recurrent spontaneous abortion,preeclampsia,and fetal growth re-striction.Auxiliary examinations represent the core modali-ty for identifying thrombophilic states and guiding clinical interventions.Nevertheless,thrombophilia-related testing in current clinical practice is plagued by extensive over-in-dication,excessive selection of test panels,and biased in-terpretation of laboratory results.These issues not only waste medical resources but also predispose patients to overdiagnosis and overtreatment,increasing pregnancy-re-lated risks and imposing psychological burden on pregnant women.This article sorts out the stratified framework and applicable indications of standardized auxiliary testing for obstetric thrombophilia,clarifies the criteria defining exces-sive testing alongside prevalent clinical misconceptions,an-alyzes the multifaceted hazards stemming from redundant examinations,and proposes a rational testing approach based on risk stratification,so as to provide references for standardized diagnosis and management of obstetric throm-bophilia.