在由于外围动脉阻塞性疾病而进行初级截肢的患者中使用红外热学
Leonardo Martins Mota DE Morais1,2, Cláudio Olavo Cordova3, Esdras Marques Lins2
1- Hospital das Forças Armadas, Cirurgia Vascular - Brasília - DF - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|November 28, 2024
概括
红外热学有助于确定周围动脉疾病 (PAD) 患者的下肢截肢水平. 吸烟患者的热度梯度较宽,通常需要膝盖以上的截肢.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 周围动脉疾病 (PAD) 是常见的,关键四肢缺血症 (CI) 经常导致截肢.
- 红外热学 (IT) 提供一种非侵入性,无辐射的方法来评估肢体温度.
研究的目的:
- 评估IT在确定PAD和CI患者下肢截肢水平方面的实用性.
- 评估IT在手术前外科规划中的作用.
主要方法:
- 预期队列研究 (2023年4月至11月).
- 参与的患者有PAD和CI在手术前截肢阶段.
- 进行了标准化的IT评估.
主要成果:
- 与非吸烟者相比,在吸烟的PAD患者中观察到更广泛的纵向热梯度.
- 具有显著热度梯度的吸烟患者患膝盖以上截肢的可能性更高.
结论:
- 红外热学有效地区分PAD和CI患者的热模式.
- 信息技术可以帮助做出手术前的决定,以选择合适的截肢水平.
- 吸烟状态和热度梯度预测了膝盖以上截肢的可能性.
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