症状--病理生理学分类系统在患有盆腔静脉疾病的患者中的应用
Neel Gadhoke1, Shreeya Bahethi1, Gaurav Lakhanpal1
1Center for Vascular Medicine, Greenbelt, MD, USA.
Phlebology
|May 27, 2024
概括
症状 - - 病理生理学 (SVP) 系统有效地对盆腔静脉疾病 (PeVD) 进行分类. 慢性盆腔疼痛 (S2) 和盆腔 (V2) 是最常见的,通常与静脉狭窄和卵巢静脉逆流有关.
科学领域:
- 血管医学 血管医学
- 弗莱博学 (Phlebology) 是一种神经病学.
- 妇科血管疾病 血管疾病
背景情况:
- 盆腔静脉疾病 (PeVD) 得到越来越多的认可,但其分类仍然具有挑战性.
- 美国静脉和淋巴学会开发了症状--病理生理学 (SVP) 系统,以标准化PeVD评估.
- 关于SVP系统在患者护理中的临床实用性的数据有限.
研究的目的:
- 将SVP分类系统应用于治疗PeVD的女性患者队列.
- 评估不同SVP分类的患病率及其与静脉病变的关联.
- 评估SVP系统在临床环境中对PeVD的特征的有用性.
主要方法:
- 在2018年1月至2019年1月期间接受PeVD治疗的70名女性患者的回顾性评估.
- 评估患者的人口统计,病史,CEAP分类和干预类型.
- 使用SVP系统对患者进行分类,评估S (症状) 和V (静脉动脉/病理生理学) 类的患病率.
主要成果:
- 最常见的分类是S2V2 (慢性盆腔疼痛和盆腔瘤).
- 症状类S2 (盆腔疼痛) 在67.1%的患者中普遍存在,通常与失精症或失经症有关.
- 腹/病理生理学类V2 (盆腔) 在74.3%的患者中被观察到,经常与阴道静脉狭窄和卵巢静脉逆流有关.
结论:
- SVP系统为PeVD的分类提供了一个框架,S2V2是这个队列中最常见的模式.
- 慢性盆腔疼痛和盆腔静脉是PeVD的关键特征,通常源于非血栓性静脉狭窄和卵巢静脉逆流.
- 需要进行更大规模的研究来确认各种SVP模式的发生率,并验证其临床实用性.
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