Sobinsky K R, Williams L R, Gray B, Schuler J J, Flanigan D P
Am J Surg. 1986 Aug;152(2):185-9. doi: 10.1016/0002-9610(86)90239-4.
Proper assessment of aortoiliac disease requires hemodynamic evaluation during lower extremity vasodilatation. Two tests that meet this criterion, intraarterial papaverine injection and supine exercise of the lower extremities, were compared in 35 extremities of 27 patients. Hemodynamic improvement as measured postoperatively was used as the standard for comparison. Ergometer and papaverine tests were 100 percent and 94 percent accurate, respectively, had sensitivities of 100 percent and 100 percent, specificities of 100 percent and 93 percent, positive predictive values of 100 percent and 75 percent, and negative predictive values of 100 percent and 100 percent. The lower accuracy rate for the papaverine test was the result of two borderline (false-positive) examinations. The ergometer test is more accurate but less applicable than the papaverine test. Routine papaverine testing with adjunctive ergometer testing is a highly accurate method of assessing the hemodynamic significance of aortoiliac disease.
对主髂动脉疾病进行恰当评估需要在下肢血管扩张期间进行血流动力学评估。在27例患者的35个肢体中，对符合该标准的两种检查方法，即动脉内注射罂粟碱和下肢仰卧位运动进行了比较。将术后测量的血流动力学改善情况作为比较标准。测力计试验和罂粟碱试验的准确率分别为100%和94%，敏感度分别为100%和100%，特异度分别为100%和93%，阳性预测值分别为100%和75%，阴性预测值分别为100%和100%。罂粟碱试验较低的准确率是两次临界（假阳性）检查的结果。测力计试验比罂粟碱试验更准确，但应用范围更窄。常规罂粟碱试验联合辅助测力计试验是评估主髂动脉疾病血流动力学意义的一种高度准确的方法。
