血管内血栓切除用于治疗产后阴腹腔深静脉血栓症:单中心回顾性队列研究
Xuexun Zheng1, Ming Xue1, Yadong Zhou1
1Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China.
概括
穿皮血栓切除术有效地治疗分娩后的阴茎骨上静脉血栓,改善静脉通透性并减少血栓后综合征. 这种微创手术为产后妇女提供了一个比单独抗凝药更安全的替代方案.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 产科和妇科 产科和妇科
背景情况:
- 产后阴茎静脉血栓是严重的并发症.
- 单独使用抗凝药可能无法完全恢复静脉功能或预防长期的后果.
- 至少侵入性治疗选择是必要的,以改善结果.
研究的目的:
- 为了评估皮肤穿血栓切除术对产后阴茎静脉血栓的安全性和有效性.
- 为了比较单独使用抗凝药的结果.
主要方法:
- 追溯分析72名产后妇女患有急性阴茎上腺深静脉血栓症.
- 研究组:药物机械血栓溶解 (PMT) 或导管导向血栓溶解 (CDT).
- 对照组:仅使用抗凝药.
主要成果:
- 血栓切除组的技术成功率为100%,没有严重的出血并发症.
- 血栓切除组的1年静脉通透率为82.60%±21.45%. 在血栓切除组中,1年静脉通透率为82.60%±21.45%.
- 在血栓切除组中,血栓后综合征的发生率明显较低 (17.50% vs 68.75%,P < .001).
结论:
- 皮肤透射血栓切除术是一种安全有效的治疗产后阴茎上垂直静脉血栓.
- 它显著改善了下肢静脉的通透性.
- 与单独的抗凝药相比,它可以降低血栓后综合征的发生率.
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