节段性压力测量在评估外周血管疾病中的价值。
The value of segmental pressure measurement in the assessment of peripheral vascular disease.
作者信息
Belcaro G, Nicolaides A N, Bull M L, Groves J H, Williams M A, Possati F, Cotellese R, Cacchio M, Caizzi N
出版信息
Int Angiol. 1986 Jan-Mar;5(1):7-12.
In 60 patients with symptomatic peripheral vascular disease a study was performed to evaluate the reliability of segmental pressure measurement in detecting and localizing vascular lesions. Five groups of limbs with different pressure patterns were identified: normals, distals disease (diabetics), aorto-iliac disease, aorto-iliac and superficial femoral disease, superficial femoral and distal disease. The comparison with angiography showed the high efficacy of this method (when combined with Doppler study of the arteries) to localize and quantify the lesions. The combination with femoral intraarterial pressure measurement allows to predict exactly the segmental pressure after segmental vascular reconstructions. It is concluded that segmental pressure measurement (with the described technique) selects patients for angiography and surgery and can predict the outcome of vascular reconstruction.
对60例有症状的外周血管疾病患者进行了一项研究，以评估节段性压力测量在检测和定位血管病变方面的可靠性。确定了五组具有不同压力模式的肢体：正常组、远端疾病（糖尿病患者）、主-髂动脉疾病、主-髂动脉和股浅动脉疾病、股浅动脉和远端疾病。与血管造影的比较表明，该方法（与动脉多普勒研究相结合时）在定位和量化病变方面具有很高的有效性。与股动脉内压力测量相结合，可以准确预测节段性血管重建后的节段性压力。结论是，节段性压力测量（采用所述技术）可筛选出适合血管造影和手术的患者，并可预测血管重建的结果。
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