经皮氧分压测量在慢性肢体威胁性缺血评估中的适用性。

Applicability of Transcutaneous Oxygen Tension Measurement in the Assessment of Chronic Limb-Threatening Ischemia.

机构信息

Department of Vascular Surgery, UMC Utrecht, CX Utrecht, the Netherlands.

Department of Vascular Surgery, Jeroen Bosch Ziekenhuis, Henri Dunantstraat, GZ 's-Hertogenbosch, the Netherlands.

出版信息

Angiology. 2020 Mar;71(3):208-216. doi: 10.1177/0003319719866958. Epub 2019 Aug 6.

Abstract

Transcutaneous oxygen tension measurement (TcPO) is widely applied for the evaluation of chronic limb-threatening ischemia (CLTI). Nevertheless, studies that focused on the clinical value of TcPO have shown varying results. We identified factors that potentially play a role in TcPO measurement variation such as probe placement, probe temperature, and the use of a reference probe. In this review of the current literature, we assessed the application of these factors. A systematic search was conducted. Parameters that were assessed were probe placement, probe temperature, and mentioning and/or use of a reference probe. In total, 36 articles were eligible for analysis. In 24 (67%) studies, probes were placed on specific anatomical locations. Seven (19%) studies placed probes, regardless of the location of the ulcer, adjacent to an ischemic lesion or ulcer (perilesion). Selected temperature setting of the probe differed; in 18 (50%), a default probe temperature of 44°C was selected, and in 13 (36%), a different temperature was selected. In 31 (84%) studies, the use of a reference probe was not reported. Transcutaneous oxygen tension measurement is applied diversely in patients with CLTI. Homogeneity in TcPO protocols is warranted for reliable clinical application and to compare future TcPO research.

摘要

经皮氧分压测量(TcPO)广泛应用于慢性肢体威胁性缺血(CLTI)的评估。然而,专注于 TcPO 临床价值的研究结果不一。我们确定了可能影响 TcPO 测量变化的因素,如探头放置、探头温度以及参考探头的使用。在对当前文献的回顾中,我们评估了这些因素的应用。进行了系统搜索。评估的参数包括探头放置、探头温度以及参考探头的提及和/或使用。共有 36 篇文章符合分析条件。在 24 项(67%)研究中,探头放置在特定的解剖位置。7 项(19%)研究无论溃疡位置如何,均将探头放置在缺血性病变或溃疡旁(病变旁)。探头的选定温度设置不同;在 18 项(50%)研究中,选择了默认的 44°C 探头温度,在 13 项(36%)研究中,选择了不同的温度。在 31 项(84%)研究中,未报告参考探头的使用情况。经皮氧分压测量在 CLTI 患者中应用广泛。为了可靠的临床应用和比较未来的 TcPO 研究,有必要制定 TcPO 方案的一致性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc6/6987479/bd4e505a792c/10.1177_0003319719866958-fig1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索