关于在糖尿病患者中诊断周围动脉疾病的当前意见
Francesca Ghirardini1, Romeo Martini1
1Department of Angiology, San Martino Hospital, 32100 Belluno, Italy.
Medicina (Kaunas, Lithuania)
|July 27, 2024
概括
在糖尿病患者中诊断周围动脉疾病 (PAD) 对于识别心血管风险和预防截肢至关重要. 本综述涵盖了糖尿病患者PAD的关键诊断方法,包括非侵入性测试和成像技术.
科学领域:
- 血管医学 血管医学
- 内分泌学 在内分泌学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 随着外围动脉疾病 (PAD) 和糖尿病 (DM) 的全球流行率的增加.
- 强有力的证据将DM与PAD联系在一起,使诊断复杂化,特别是在糖尿病足病 (DFD) 中.
- 糖尿病患者的PAD早期诊断确定了高心血管风险,需要密集管理.
研究的目的:
- 审查特定于糖尿病患者的PAD诊断方法.
- 讨论PAD检测和严重程度评估的非侵入性测试和先进成像.
- 强调足 perfusion 评估对于关键四肢缺血症 (CLI) 在DFD中的重要性.
主要方法:
- 对非侵入性诊断测试的审查:脚-手臂指数 (ABI),脚压力 (TP),通过皮肤的氧气压力 (TcPO2).
- 图像模式的描述:双重超声波 (DUS),计算机断层扫描血管造影 (CTA),磁共振血管造影 (MRA),数字减去血管造影 (DSA).
- 对评估足 perfusion 的方法的评估,对于 DFD 中的 CLI 诊断至关重要.
主要成果:
- 非侵入性测试为PAD诊断和足 perfusion评估提供了必要的数据.
- 图像技术提供了关于狭窄和闭塞严重性的详细解剖信息.
- 在糖尿病患者中,准确的PAD和CLI诊断对于挽救肢体和降低死亡率至关重要.
结论:
- 在日益增长的糖尿病人群中,有效的诊断策略对于管理PAD至关重要.
- 非侵入性测试和成像的组合确保了全面的PAD评估.
- 在患有PAD/CLI的糖尿病患者中及时诊断和干预可以预防截肢并降低死亡率.
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