手加速时间是手输液中的一个有价值的超声波工具,作为诊断慢性上肢缺血的辅助评估
Begoña Gonzalo1, Sebastián Videla2, José Moranas3
1Angiology, Vascular and Endovascular Surgery Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Annals of vascular surgery
|July 20, 2024
概括
通过血管双重超声波测量的手加速时间 (HAT) 是慢性上肢缺血症的敏感诊断工具. 这种非侵入性方法为手输液提供了有价值的见解,补充了现有的诊断方法.
科学领域:
- 血管医学 血管医学
- 诊断性的超声波检查
- 缺血症研究 缺血症研究
背景情况:
- 慢性上肢缺血的诊断严重依赖于临床评估.
- 目前用于手输液评估的非侵入性方法缺乏标准化.
- 手加速时间 (HAT) 显示出作为诊断工具的潜力,但需要验证.
研究的目的:
- 为了验证手加速时间 (HAT) 作为慢性上肢缺血症的敏感诊断工具.
- 在患有和没有慢性上肢缺血症的患者中描述HAT测量.
- 评估HAT在评估手 perfusion 的实用性.
主要方法:
- 未来的,单中心的,横截面的研究设计.
- 包括患有慢性上肢缺血的成年患者和健康的成年志愿者.
- 手血管双重超声波和HAT测量在多个手和前臂动脉.
主要成果:
- 在所有评估的动脉中,缺血和非缺血手之间的HAT测量有显著差异 (p < 0.001).
- 腹动脉狭窄/闭塞和远端动脉狭窄是缺血的主要原因.
- HAT测量清楚地区分了患者和健康对照.
结论:
- 血管双重超声与HAT测量是一种敏感和可访问的诊断工具,用于慢性上肢缺血.
- 哈特提供了关于手输液的宝贵信息.
- HAT可以作为现有的非侵入性诊断技术的补充方法.
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