血管介入治疗高龄患者下肢动脉硬化闭塞症中血管超声引导监测的临床价值

Clinical value of ultrasound-guided monitoring in elderly patients with arteriosclerosis obliterans in lower extremities undergoing vascular interventional therapy

目的探析血管介入治疗高龄患者下肢动脉硬化闭塞症(AOLE)中血管超声引导监测的临床价值。方法选取2020年3月至2022年12月本院收治的180例AOLE患者作为研究对象。患者均应用血管介入治疗,基于血管超声及造影剂检测对患者AOLE程度进行诊断及评分。比较两种检测方法血管狭窄检出情况及对不同血管病变的检出率。结果造影剂检测与血管超声检测血管中度狭窄、血管重度狭窄、血管闭塞检出率比较差异无统计学意义。本研究无血管轻度狭窄病例。造影剂检测与血管血管超声检测对股深动脉、股浅动脉、胫浅动脉、胫后动脉、腘动脉检出率比较差异无统计学意义。结论血管超声可有效诊断AOLE,同时,在血管介入治疗高龄患者中应用超声监测辅助效果良好,建议推广应用。

Objective To explore the clinical value of ultrasound-guided monitoring in elderly patients with arteriosclerosis obliterans in lower extremities(AOLE)undergoing vascular interventional therapy.Methods A total of 180 patients with AOLE admitted to our hospital from March 2020 to December 2022 were selected as the study subjects.All patients were treated with vascular interventional therapy,the degree of AOLE was diagnosed and scored based on ultrasound-guided monitoring and contrast agent detection.The detection rate of vascular stenosis and the detection rate of different vascular lesions were compared between the two detection methods.Results There were no significant differences in the detection rate of deep femoral artery,superficial femoral artery,superficial tibial artery,posterior tibial artery and popliteal artery between contrast agent detection and ultrasound-guided monitoring.There was no significant difference in the detection rate of moderate vascular stenosis,severe vascular stenosis and vascular occlusion between the contrast agent detection and the ultrasound-guided monitoring,there were no cases of mild vascular stenosis in this study.Conclusion Vascular ultrasound can effectively diagnose AOLE,and the application of ultrasound monitoring in elderly patients undergoing vascular intervention therapy has a good auxiliary effect,it is recommended to promote its application.