イリアック圧縮症候群のタイ患者における深静脈血栓の再発の発生率とリスク
Hathamon Chonwarangkoon1, Chinnarat Bua-Ngam2, Sasiprapa Rongthong2
1Department of Medicine, Hemostasis and Thrombosis Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Research and practice in thrombosis and haemostasis
|February 16, 2026
まとめ
イリアック圧縮症候群 (ICS) は,深静脈血栓症 (DVT) 患者の3分の1以上に影響を与え,重発性DVTのリスクを大幅に増加させます. ICSに関するさらなる研究は,DVTの効果的な管理に不可欠です.
科学分野:
- 血管医学 血管医学とは
- 放射線学 放射線学
- トロンボシス研究研究
背景:
- イリヤック圧縮症候群 (ICS) は,右側常 iliac 動脈が左側常 iliac 静脈を圧縮することで発生します.
- 一般集団におけるICSの実際の罹患率は十分に確立されていません.
研究 の 目的:
- 深静脈血栓症 (DVT) と診断された患者のICSの罹患率を決定する.
- 再発性DVT,肺栓塞,後血栓症候群を含むICS患者のアウトカムを評価する.
主な方法:
- 2015年1月から2023年12月までの期間に遡及研究が行われました.
- 対象となった患者は客観的にDVTが確認され,下腹部CTまたはMRIを受けた患者でした.
- 画像検査は2人の独立した放射線科医によって審査されました.
主要な成果:
- ICSは,研究された180人のDVT患者の37.2%に存在していました.
- ICS患者では,ICS以外の患者と比較して,左足のDVTと再発性DVTの発生率が高かった.
- 肺栓塞症と転血症後症候群の発生率は類似していたが,ICS患者では再発性DVTのリスクが著しく高かった (OR, 4.71).
結論:
- DVT患者の間でICSの罹患率は相当 (37%) である.
- ICSは,再発性DVTのリスクが著しく高いことと関連しています.
- ICSは,再発性DVTに寄与する認識されていない要因であり,さらなる調査に値する可能性があります.
キーワード:
メイ・ターナー症候群 (May-Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは,ターナー症候群 (Thurner syndrome) とは深い静脈の血栓症である深静脈トロンボシスイリアック圧縮症候群トロンボ症候群後症候群 (PTSD) とは肺栓塞 (肺栓塞) とは静脈性血栓塞栓症 静脈性血栓塞栓症 静脈性血栓塞栓症とは
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