表面静脉血栓的管理和结果:单中心回顾性研究
Marie-Eve Mathieu1, Lisa Duffett1, Lucia Caiano1
1Department of Medicine, University of Ottawa and the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Research and practice in thrombosis and haemostasis
|January 8, 2024
概括
表面静脉血栓 (SVT) 诊断往往显示无症状的深静脉血栓 (DVT). 治疗显著影响3个月后的并发症率,强调需要最佳的管理策略.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 目前的指导方针为表面静脉血栓症 (SVT) 的最佳管理提供了有限的建议.
- 在SVT诊断时无症状深静脉血栓症 (DVT) 的患病率尚未确立.
研究的目的:
- 在被诊断为SVT的患者中确定无症状DVT的患病率.
- 报告与孤立的SVT.患者治疗结果和3个月后的并发症.
主要方法:
- 对超声波诊断出SVT的患者进行了回顾性审查,在一个中心进行了回顾.
- 只有SVT的患者被跟踪了3个月,以评估并发症.
主要成果:
- 近9%的SVT患者无症状的DVT;20.6%的SVT发生在深静脉结附近.
- 在仅患有SVT的患者中,29.2%的患者经历了3个月的血栓性并发症,包括DVT,肺栓塞和SVT延长/复发.
- 与治疗抗凝血相比,保守的治疗与较高的DVT和肺栓塞事件发生率有关.
结论:
- 对于临床怀疑SVT的患者来说,初始超声波查至关重要,以检测同时发生的DVT.
- 治疗策略显著影响并发症率,需要进一步研究最佳的SVT管理.
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