周围动脉疾病诊断方法的临床应用进展  

Progress in Clinical Application of Diagnostic Methods of Peripheral Artery Disease

作　　者：马超[1] MA Chao(Department of General Surgery,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院普外科,天津300052

出　　处：《继续医学教育》2022年第6期157-160,共4页Continuing Medical Education

摘　　要：随着我国人口老龄化的进展,周围动脉疾病(PAD)的发病率逐年增高,研究表明到2020年我国PAD总人数将达到4131万。严重的PAD会导致患者缺血部位的疼痛、麻木、坏疽甚至截肢,而早期PAD多数患者无症状或症状较轻。PAD的早期诊断及正确治疗能够改善患者症状,提高患者生活质量,降低患者截肢风险。PAD的检查方法很多,包括踝肱指数、超声检查、计算机断层扫描血管造影、核磁共振血管造影、数字减影血管造影等。通过对上述检查方法的相关文献进行综述,探讨各方法的优势及不足,以期对临床能够早期诊断PAD提供一些参考。With the aging of China’s population,the incidence of peripheral artery disease(PAD)is increasing year by year,and research shows that the total number of PAD in China will reach 41.31 million by 2020.Severe PAD can lead to pain,numbness,gangrene and even amputation of the ischemic site,while most people with early PAD have no symptoms or mild symptoms.Early diagnosis and correct treatment of PAD can improve symptoms,improve quality of life,and reduce the risk of amputation.PAD can be examined by a variety of methods,including ankle-brachial index(ABI),ultrasonography(US),computed tomography angiography(CTA),magnetic resonance angiography(MRA),and digital subtraction angiography(DSA).In this paper,the relevant literature of the above examination methods was reviewed to explore the advantages and disadvantages of each method,in order to provide some reference for the early diagnosis of PAD in clinic.

关 键 词：周围动脉疾病 踝肱指数 超声检查 计算机断层扫描血管造影 核磁共振血管造影 数字减影血管造影 

分 类 号：R445[医药卫生—影像医学与核医学]