超声波检测炎症腹腔大动脉动脉瘤:一个案例和验证系列
Berend G C Slijkhuis1, David J Liesker2, Sherilyn A C Konter1
1Department of Internal Medicine-Vascular Medicine, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands.
Diagnostics (Basel, Switzerland)
|May 27, 2023
概括
超声波可以有效地检测炎症性腹腔大动脉动脉瘤 (iAAA),一种非传染性大动脉炎. 这种成像技术在识别iAAA方面具有很高的准确性,并且还可以在患有腹腔大动脉动脉瘤 (AAA) 的患者中安全排除这种情况.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 炎症性疾病 炎症性疾病
背景情况:
- 炎症性腹腔大动脉动脉瘤 (iAAA) 是腹腔大动脉动脉瘤 (AAA) 的非传染性大动脉炎并发症.
- 早期发现iAAA对于有效管理至关重要.
- 超声波在iAAA检测中的潜在作用需要进一步调查.
研究的目的:
- 评估超声波检测iAAA的能力.
- 在一个案例系列和可行性研究中评估iAAA的超声波的诊断准确性.
- 为了确定超声波的灵敏度和特异性,识别iAAA.
主要方法:
- 追溯观察性研究包括两个部分:iAAA患者的病例系列和AAA患者的可行性研究.
- 用CT扫描作为黄金标准确认了IAAAA的诊断,通过围绕动脉瘤的特征性"手"来确定.
- 超声波成像被用来检测这种袖口的存在或不存在.
主要成果:
- 在病例系列 (13名iAAA患者) 中,超声波检测到所有病例的特征袖口.
- 在可行性研究中 (157名AAA患者),超声波在5.1%的病例 (8名患者) 中正确识别了iAAA,并在93.6% (147名患者) 中排除了它.
- 超声波显示iAAA检测的灵敏度为100%,特异性为98.7%.
结论:
- 超声波是识别炎症性腹腔大动脉动脉瘤 (iAAA) 的一个有价值的工具.
- 超声波还可以在患有腹腔大动脉动脉瘤 (AAA) 的患者中可靠排除iAAA.
- 虽然超声波的准确性很高,但CT成像仍然可能是必要的,以确认阳性超声波发现.
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
11
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
11
Aneurysm III: Interprofessional Care
13
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
13
Assessment of the Abdomen I: Inspection and Auscultation
507
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
507
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
20
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
20


