术后双重扫描的价值和局限性 在静脉内热移除后的双重扫描
Pavel Kibrik1, Ali Basil Ali1, Jesse Chait1
1Vascular Institute of New York, Brooklyn, NY.
Journal of vascular surgery. Venous and lymphatic disorders
|September 7, 2023
概括
静脉逆流性疾病的静脉内热切除术 (EVTA) 后的再通道化是常见的. 这项研究表明,例行术后双重超声扫描可能不必要,只建议在症状复发时进行扫描.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 超声波成像 超声波成像
背景情况:
- 静脉内热移除 (EVTA) 是对症状性静脉逆流病的主要治疗方法.
- 再通道化是EVTA后的常见并发症.
- 目前的协议缺乏明确的指导方针,用于术后双重超声波计时检测再通道.
研究的目的:
- 为了研究术后双重超声波扫描EVTA后的最佳时间.
- 为了确定特定的时间框架是否可以更好地诊断回化.
主要方法:
- 在3237名患有慢性静脉功能不全的患者中,对9799例EVTA手术进行了回顾性分析.
- 双重超声扫描是在术后3-7天内进行的.
- 在第一年,每3个月进行一次随访扫描,然后每6个月进行一次.
主要成果:
- 由于症状重,进行了145次重复手术.
- 大多数重复手术发生在EVTA后的第一年.
- 在重复手术的时间表中存在显著的变化.
结论:
- 在EVTA之后的症状再通道显示出相当大的时间变化.
- 常规的术后双重超声扫描可能不必做.
- 当患者出现复发性症状如胀时,请考虑进行双重超声波.
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