改进双重超声波方法,用于诊断功能性脊柱动脉陷综合征
David W Barrett1, Joao Carreira1, Frank L Bowling2,3
1Independent Vascular Services Ltd, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Scandinavian journal of medicine & science in sports
|March 8, 2024
概括
人形动脉陷综合征 (PAES) 诊断需要仔细考虑患者的位置. 超声波方案应优先考虑勃起的位置,以区分真正的PAES和无症状的尾动脉压缩.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 肌肉骨生物力学 肌肉骨生物力学
背景情况:
- 脊柱动脉陷综合征 (PAES) 涉及脊柱动脉 (POPA) 通过周围肌肉骨结构的动态压缩.
- 功能性PAES的准确诊断是具有挑战性的,因为呈现的变化和虚假阳性结果的可能性.
研究的目的:
- 为了研究动态足部和背部曲对POPA在各种位置上的血液动力学影响.
- 为功能PAES开发一个强大的,基于超声波的诊断协议.
主要方法:
- 在健康,运动和PAES患者群体中对120条下肢动脉进行三重超声成像.
- 测量包括静止状态下的峰值缩速度和血管直径,以及在倾斜和直立的动态曲期间的测量.
主要成果:
- 远端POPA封闭发生在62.7%的四肢,当倾向于在所有组的脚下曲.
- 有症状的患者在背部 (15.8%) 和脚部屈曲 (23.7%) 期间都显示出直立姿势中的POPA遮蔽.
- 无症状的POPA压缩在倾斜的脚下曲姿势中普遍存在.
结论:
- 超声波检测到的POPA压缩单独不足以诊断PAES.
- 诊断方案应强调直立的位置,以区分PAES和无症状的压缩.
- 区分真正的PAES和定位POPA压缩对于准确的诊断至关重要.
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