静脈動脈の放射性アブレーションと硬化療法の併用後の深静脈血栓症の発生率,リスク要因,および臨床的特徴
Bo Wu1, Haoyuan Wang1, Yujia Li1
1Department of Abdominal Wall, Hernia and Vascular Surgery, Second Affiliated Hospital, Chongqing Medical University, China.
Phlebology
|September 2, 2025
まとめ
静脈深層血栓症 (DVT) は,ラジオ周波数剥離 (RFA) と静脈縮治療の後に一般的であり,しばしば早期に発生する. 予防的な抗凝固薬は,ディスタルDVTの解消を助けることができます.
科学分野:
- 血管 外科
- 介入放射線学
- トロンボシス 研究
背景:
- 射頻消去 (RFA) とスクレロセラピーとの併用は,静脈の常用治療法である.
- 特に深静脈血栓症 (DVT) のリスクを理解することは,患者の安全にとって極めて重要です.
研究 の 目的:
- RFAと硬化療法後のDVTの発生率と臨床的特徴を決定する.
- DVT の危険因子を特定する.
- ディスタルDVTの管理における予防抗凝固薬の有効性を評価する.
主な方法:
- RFAと硬化療法を併用した567人の患者の遡及分析.
- ロジスティック回帰を用いた13の潜在的なリスク要因の評価
- 予防用抗凝固剤を投与した患者と投与されなかった患者におけるDVT解明の比較
主要な成果:
- 術後のDVTは患者の8. 11%で発生し,主に筋肉と後部の静脈で3日以内に発生した.
- DVTの独立した危険因子には,以前の血栓形成,< 10mLの泡の注射量,および遠隔注射部位が含まれていた.
- 予防用抗凝固剤を投与された患者は,血栓の解消が著しく改善された.
結論:
- RFAと硬化療法後のDVTの発生率は早期発症で著しい.
- 特定の患者と手法の要因は,DVTのリスクを高めます.
- 予防的な抗凝固薬は,遠隔のDVTの解消に有益であるようです.
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