下肢深静脉血栓瘤的临床表现中的性别差异
Benilde Cosmi1,2, Laura Borgese2, Cristina Legnani3
1Angiology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Journal of women's health (2002)
|March 26, 2024
概括
男人患近道深静脉血栓症 (DVT) 的患病率更高,而更多的女性因怀疑DVT而被转诊. 目前对DVT的诊断算法在两种性别中都具有相似的性能.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
- 流行病学 流行病学
背景情况:
- 下肢深静脉血栓瘤 (DVT) 的临床表现和程度的性别差异可能会影响诊断策略.
- 目前的DVT诊断算法依赖于预测临床概率 (PTP) 评估,D-二次测试和压缩超声波 (CUS).
研究的目的:
- 评估DVT临床表现的基于性别的差异.
- 评估这些差异对PTP和D-二次体试验结果的影响.
- 确定当前的DVT诊断算法是否在男性和女性中同样有效.
主要方法:
- 从2005年1月到2019年12月,对涉嫌下肢DVT的门诊患者进行了回顾性研究.
- 患者接受了PTP评估 (威尔斯分数),D-二次测试和CUS.
- 对转诊率,年龄,DVT患病率,DVT位置,PTP概率,临床症状和性别之间的D-二次体阳性进行分析.
主要成果:
- 更多的女性 (61.4%) 被推为疑似DVT,而不是男性.
- 男性的DVT诊断率更高 (11.8%vs. 8%) 和近端DVT的患病率更高 (7.3%vs. 4.4%).
- 虽然D-二次体在患有DVT的女性中比较频繁呈阳性 (94.6%与85.7%相比),但在患有DVT的男性 (92%) 和女性 (96%) 中,对D-二次体和/或可能的PTP的综合评估同样频繁.
结论:
- 男性的近距离DVT患病率更高,而女性更常被转诊进行DVT评估.
- 尽管观察到临床表现和D-二次体阳性的差异,但当前的DVT诊断算法在男性和女性中表现相似.
- 这些发现表明,目前对DVT的诊断方案在不同性别之间都是可靠的.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
324
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
324
Veins of Lower Limbs
800
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
800
Pulse Assessment Sites
1.0K
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
1.0K
Disorders of Hemostasis
885
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
885
Veins of Upper Limbs
859
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
859
Venous Return
4.1K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
4.1K


