静脉压缩综合征的预测因素在患有静脉的患者
Chao Guo1, ShuTing Gao1, Longqing Hu2
1Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Vascular
|August 23, 2024
概括
静脉压缩综合征 (IVCS) 在静脉患者的预测因素包括左侧卷入,深静脉血栓史,疼痛和阳性超声检查结果. 这些因素可能需要手术前的静脉扫描来进行准确的评估.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 流行病学 流行病学
背景情况:
- 静脉压缩综合征 (IVCS) 是一个重要的考虑在患有下肢静脉的患者.
- 手术前评估旨在确定可能影响手术结果的疾病.
研究的目的:
- 在患有静脉的患者中确定并发IVCS的预测因素.
- 评估为手术前规划进行常规下肢静脉检查的必要性.
主要方法:
- 对1165名患有下肢静脉的患者进行了回顾性分析,这些患者接受了手术前静脉扫描.
- 后勤回归分析以确定与IVCS相关的因素.
- 预测名ogram的构建和验证.
主要成果:
- 在6.4%的患者中,IVCS通过静脉检查被确定;超声波产生了0.17%的积极结果.
- IVCS的独立预测因素包括左侧静脉静脉 (OR=3.22),深静脉血栓形成史 (DVT) (OR=3.11),疼痛 (OR=2.24),以及阳性静脉超声波 (OR=25.56).
- 开发的名图表显示了适度的预测能力 (AUV=0.689) 与良好的校准.
结论:
- 患有左下肢静脉增生,疼痛,有DVT病史和阳性阴道静脉超声波的患者患IVCS的风险增加.
- 术前静脉扫描可能适用于这些已识别的风险因素的静脉静脉患者.
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