静脉直径和静脉功能在双重超声检查期间取决于患者的位置
Charline Diessner1, Norbert Weiss1, Sebastian Werth1
1University Center for Vascular Medicine and Department of Medicine III - Section Angiology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany.
VASA. Zeitschrift fur Gefasskrankheiten
|November 20, 2025
概括
在诊断慢性静脉功能不全 (CVI) 的双重超声波期间,倾斜70°的位置产生了与站立位置相似的结果. 这为评估大安全静脉 (GSV) 反流提供了更安全,更舒适的替代方案.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 医学超声波 医学超声波
背景情况:
- 站立式双重超声波是诊断慢性静脉功能不全 (CVI) 的标准.
- 患者的位置可能受到年龄或身体限制的限制,需要使用替代方法.
- 在CVI中,患者位置对静脉直径和门功能的影响需要评估.
研究的目的:
- 评估患者定位对大静脉 (GSV) 直径和静脉功能在CVI患者的影响.
- 为了比较CVI评估的仰卧,倾斜和站立姿势之间的诊断准确性.
- 为了确定70°倾斜的位置是否可以替代双重超声波中站立的位置.
主要方法:
- 一项前性队列研究,涉及30名CVI患者和18名对照.
- 在不同点对GSV直径的双重超声测量.
- 在躺着 (0°),倾斜 (30°,70°) 和站着 (90°) 的位置分析静脉反流 (>0.5s).
主要成果:
- 观察到患者倾向和静脉 GSV直径之间存在线性相关性.
- 在CVI (39-42%) 和健康 (20-23%) 肢体中,GSV直径从躺到站的位置显著增加.
- 在站立姿势下检测到静脉逆流的发现,≥97%的患者在70°倾斜时检测到,没有显著差异.
结论:
- 在疑似CVI的GSV评估中,在双重超声波期间倾斜70°的位置是站立的可行的替代方案.
- 这种姿势可以提供与站立姿势相比较的诊断结果.
- 使用70度倾斜可以提高CVI评估期间的患者安全性和检查员舒适性.
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