横截面成像能否取代盆腔静脉障碍 (PeVD) 的诊断静脉检查?
Mohammed Shahat1, Omar M A Abdelbaqy1, Ahmed M AbdelHakam2
1Department of Vascular and Endovascular Surgery, Assiut University Hospitals, Assiut, Egypt.
Journal of vascular surgery. Venous and lymphatic disorders
|December 22, 2023
概括
磁共振静脉扫描 (MRV) 在诊断盆腔静脉障碍方面,比计算机断层扫描 (CTV) 更加精确. 这项研究将非侵入性成像与诊断性静脉学进行比较,发现MRV更有效地识别不合格的骨盆静脉.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 妇科 妇科 妇科 妇科
背景情况:
- 盆腔静脉疾病 (PVD) 是一种复杂的疾病,需要多学科的评估和管理.
- 慢性盆腔疼痛和下肢静脉是PVD的常见症状.
- 诊断静脉检查具有侵入性,因此需要更少的侵入性成像替代方案.
研究的目的:
- 为了比较非侵入性成像方式的诊断准确性,特别是计算机断层扫描 (CTV) 和磁共振静脉扫描 (MRV),与诊断静脉扫描在评估PVD时.
- 评估CTV和MRV的敏感性,特异性和诊断准确性,以检测无能力的骨盆静脉.
主要方法:
- 在2021年3月至2022年9月期间,在第三级转诊大学医院对120名PVD患者进行了追溯分析.
- 患者接受了CTV或时间解析MRV,随后进行诊断静脉谱.
- 图像检测结果的比较,以确定一致性,并测量灵敏度,特异性和诊断准确性.
主要成果:
- 与CTV相比,MRV在检测无能卵巢静脉 (73%,25%,60%与50%相比,33%,47%) 和盆腔静脉 (67%,33%,60%与50%相比,40%,47%) 中显示出更高的灵敏度,特异性和诊断准确性.
- 这两种方法对内静脉的结果相似,MRV为75%,46%,53%,CTV为83%,33%,53%.
- 该研究包括120名患者,主要是患有慢性盆腔疼痛和瘤的多发性妇女.
结论:
- 非侵入性成像方式,特别是MRV,为PVD提供可接受的诊断性能.
- 在诊断盆腔拥堵综合征 (PCS) 方面,MRV显示出优于CTV的优势.
- 这些发现支持MRV作为PVD评估中的一个有价值的工具的使用,可能可以避免诊断静脉谱的缺点.
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