在使用多普勒超声波检查的CLTI患者中选膝下动脉病变的障碍
Tomofumi Tsukizawa1, Mitsuyoshi Takahara2, Yuko Yazu3
1Department of Cardiology, Nozaki Tokushukai Hospital, Osaka, Japan.
概括
双重超声波 (DUS) 对慢性四肢威胁性缺血症 (CLTI) 患者的膝下动脉 (BTK) 的准确性有限. 对高风险群体建议进行血管造影,以确保准确的诊断和治疗计划.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 医疗技术 医疗技术 医学技术
背景情况:
- 双重超声波 (DUS) 广泛用于下肢动脉疾病的评估.
- 对于慢性四肢威胁性缺血症 (CLTI) 患者的膝下动脉 (BTK) 的准确性尚未得到充分证实.
研究的目的:
- 评估在CLTI患者中BTK动脉病变的DUS诊断准确度.
- 为了比较DUS发现与关节动脉和BTK动脉的血管学.
主要方法:
- 从2018-2022年对233名CLTI患者 (罗瑟福4-6年级) 的回顾性分析.
- 将DUS发现与关节动脉 (FPA) 和BTK动脉的血管学结果进行比较.
- 确定影响DUS-血管学一致性的临床因素.
主要成果:
- 股骨关节动脉的一致性为82.0%.
- BTK动脉对应度明显较低:前骨 (52.9%),后骨 (58.6%) 和骨 (59.9%).
- 减少一致性与年龄较大,体重指数 (BMI) 较低,透析依赖性功能衰竭和FPA狭窄有关.
结论:
- 在CLTI患者中查BTK病变时,DUS的可靠性有限,特别是老年人和依赖透析的人.
- 血管造影对于在高风险患者中确认DUS发现至关重要,以防止低估疾病.
- 识别减少DUS准确性的预测因素有助于CLTI的个性化诊断途径.
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