在功能性脊柱动脉陷综合征诊断中进行穿皮氧计
Eva Deveze1, Antoine Bruneau2, Samir Henni3
1Vascular and Thoracic Surgery, University Hospital, 4 Rue Larrey, 49133, Angers, France. Eva.Deveze@chu-angers.fr.
European journal of applied physiology
|June 1, 2024
概括
通过皮肤施加氧气压力 (Ex-tcpO2) 可以帮助诊断功能性脊柱动脉陷综合征 (PAES). 这种非侵入性测试显示了52.9%的灵敏度和78.1%的特异性,用于识别PAES引起的缺血.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 运动生理学 运动生理学
背景情况:
- 功能性民动脉陷综合征 (PAES) 在运动期间引起小腿疼痛,原因是外在的民动脉压缩.
- 功能性PAES需要客观的,非侵入性的诊断方法.
- 运动通过皮肤的氧气压 (Ex-tcpO2) 测量区域血流障碍.
研究的目的:
- 评估Ex-tcpO2作为PAES患者缺血的非侵入性诊断工具.
- 评估Ex-tcpO2在诊断功能性PAES中的敏感性和特异性.
主要方法:
- 在2017年至2020年期间招募了疑似PAES的患者.
- 使用了Ex-tcpO2与特定的机动和从休息氧气压力 (DROP) 的下降指数.
- 根据多学科团队的外科决定,诊断得到确认或拒绝.
主要成果:
- 分析了65条腿;PAES在52.3%的患者中得到证实,在47.7%的患者中被拒绝.
- 在左腿的确认和拒绝组之间,平均DROP值显著不同 (p=0.004).
- 对于功能PAES,ex-tcpO2显示了52.9%的灵敏度和78.1%的特异性.
结论:
- Ex-tcpO2是一种新型的非侵入性测试,用于诊断不确定的动脉起源的化.
- 在脚尖脚时的15mmHg值,Ex-tcpO2有助于检测功能PAES中的缺血.
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