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布尔格氏病的血管造影模式:挑战和建议

Bahare Fazeli¹, Pavel Poredos², Aaron Liew^3,4

¹Support Association of Patients of Buerger's Disease (Buerger's Disease NGO), Mashhad 9183785197, Iran.

Journal of clinical medicine

|July 29, 2025

概括

布尔格氏病 (BD) 的新诊断标准需要吸烟史,典型血管造影和组织病理学. 血管造影应该显示细分性遮和螺栓管附带物,以区分BD与其他条件.

科学领域:

血管医学血管医学
诊断成像诊断成像诊断成像
类风湿病学类风湿病学

背景情况:

布尔格氏病 (BD) 诊断依赖于特定的临床和成像特征.
最近的2023年指南确定了BD的"最终"和"疑似"诊断标准.
根据血管造影,区分BD与其他血管类的区别仍然是一个挑战.

研究的目的:

审查和定义布尔格病的典型血管学特征.
确定主要的成像发现,将BD与动脉样硬化疾病 (ASO) 以及其他中小型血管类疾病区分开来.

主要方法:

审查现有的文献和诊断标准,用于布尔格氏病.
分析与BD相关的血管学特征.
与动脉样硬化疾病和其他血管类型的动脉样图案的比较.

主要成果:

确定的BD诊断需要吸烟史,典型血管造影和组织病理学.
典型的BD血管造影包括细分的infraopopliteal动脉封闭,起重器附带物 (Martorell的标志),以及缺少动脉样硬化斑块或动脉瘤.
仅有有限的数据来区分BD血管学与其他血管类型,如贝赫特病,硬皮病,肝炎相关的血管炎和抗脂综合征.

结论:

定义的血管图形特征对于布尔格病的"最终"诊断至关重要.
需要进一步的研究来澄清早期/晚期BD呈现和长期随访中的血管图案.
改善与其他血管类的差异化需要专门研究BD血管学.

关键词:

布杰格的疾病是布杰格的疾病.血管造影 - 血管造影动脉学动脉学动脉学动脉学诊断诊断诊断诊断诊断诊断周围动脉疾病周围动脉疾病血栓血管炎的消灭者血管炎是一种血管炎.

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