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通过超导管对比增强超声波测试对右上腺静脉通道的评估:一个回顾性比较研究
Like Qian1, Yuyu Liu2, Lumin Chen1
1Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Medicine
|November 8, 2025
概括
与对比度增强的超声波 (CEUS) 显著提高了对原发性阿尔多斯特隆症的右上腺静脉采样成功率,特别是对于缺乏经验的干预医生. 这种技术可以减少在技术上具有挑战性的过程中的辐射暴露.
科学领域:
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
- 医疗成像医学成像
背景情况:
- 上腺静脉采样 (AVS) 对于诊断原发性阿尔多斯特主义亚型至关重要,但在技术上很困难.
- 提高AVS的成功率,特别是对于经验较少的从业者来说,对于准确的诊断和患者管理至关重要.
研究的目的:
- 评估跨导管对比增强超声波 (CEUS) 在指导右上腺静脉采样 (AVS) 的有效性.
- 评估CEUS对无经验干预医生的AVS成功率和辐射暴露的影响.
主要方法:
- 一项比较研究涉及61名接受AVS的原发性阿尔多斯泰龙症患者.
- 35名患者接受了CEUS辅助数字减去血管造影 (DSA) 引导的AVS (CEUS-AVS),而26名患者接受了DSA引导的AVS (DSA-AVS).
- 使用CEUS验证了右上腺静脉注射器注射后的精度.
主要成果:
- 与DSA-AVS组 (73.08%,P=.03) 相比,CEUS-AVS组的成功率 (94.29%) 在右侧AVS显著更高.
- 右上腺静脉的超声成像成功率为97.1%.
- CEUS-AVS与更短的辐射暴露时间 (P=.04) 相关,而不会增加手术时间或并发症.
结论:
- 超导管CEUS在确认右上腺静脉通道的准确性方面是有效的.
- 通过CEUS辅助的AVS可以快速提高新手干预医生的成功率.
- 这种技术为改善AVS结果和减少患者辐射暴露提供了有价值的工具.
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