在急性深静脉血栓瘤的皮肤内机械血栓切除中使用指向性部超声波引导的压缩技术:一项回顾性队列研究
Qihong Ni1, Yiping Zhao1, Guanhua Xue1
1Department of Vascular Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
概括
定向股骨超声引导压缩技术 (UCT) 改善了急性深静脉血栓瘤 (DVT) 的皮肤通力机械血栓切除术 (PMT) 结果. 这种方法增强了血栓清除,并减少了血栓后综合征的发生率.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- 深静脉血栓症 (DVT) 管理,特别是 iliofemoral DVT,在完全去除血栓方面提出了挑战.
- 股骨静脉中的残留血栓与后血栓综合征 (PTS) 的更高发病率有关.
研究的目的:
- 评估使用指向部超声波引导压缩技术 (UCT) 在急性DVT时的皮肤通力机械血栓切除术 (PMT) 的早期结果.
- 评估方向股骨UCT对血栓清除,静脉通透度和PTS发生率的影响.
主要方法:
- 在2020年1月至2021年12月期间,对96名患有急性斜骨骨头DVT的患者进行了回顾性分析,他们接受了PMT.
- 患者被分为两组:带有方向性股骨UCT的PMT和没有UCT的PMT.
- 评估的结果包括血栓去除等级,初级通透率,PTS发病率和24个月随访时的安全事件.
主要成果:
- 与指向股骨UCT一起的PMT显示,与单独的PMT相比,常见的股骨静脉和全血栓切除率 (级别3) 显著更高 (p<0.001).
- 在UCT组中,24个月初级通透率显著改善 (90.0%对71.2%,p=0.027).
- 在UCT组中,PTS的发病率明显较低 (10.0%对28.8%,p=0.027).
结论:
- 定向的股骨UCT增强了PMT期间的血栓清除,用于急性阴茎侧骨DVT.
- 这种技术改善了静脉初级通透率,并显著降低了PTS的发生率.
- 建议用于PMT治疗急性阴茎侧垂体DVT的方向性股骨UCT,以改善患者的结果.
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