阴茎静脉支架提供长期缓解慢性盆腔疼痛
Laurencia Villalba1, Theresa Larkin2
1Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia; Vascular Surgery Department, Illawarra Shoalhaven Local Health District, Wollongong, NSW, Australia; Vascular Care Centre, Wollongong, NSW, Australia.
Journal of vascular surgery. Venous and lymphatic disorders
|October 14, 2024
概括
阴茎静脉支架显著缓解了女性的慢性骨盆疼痛 (CPP),其中73%的女性经历了完全的疼痛缓解. 这种有效治疗静脉阻塞相关的CPP也在怀孕期间被证明是安全的.
科学领域:
- 血管外科 血管外科
- 妇科 妇科医生 妇科
- 疼痛管理 疼痛管理
背景情况:
- 慢性盆腔疼痛 (CPP) 可能源于下静脉阻塞.
- 有限的数据存在于CPP的静脉支架的结果.
- 卵巢静脉反流 (OVR) 可能与阴道静脉阻塞并存.
研究的目的:
- 在患有CPP的女性中,评估下静脉支架后的长期疼痛缓解.
- 检查年龄,狭窄症严重程度和OVR对疼痛结果的影响.
- 评估怀孕对术后疼痛和支架穿透性的影响.
主要方法:
- 对前性收集的数据进行回顾性分析.
- 包括113名患有CPP的女性接受了下静脉支架.
- 收集了有关人口统计,静脉测量,疼痛评分 (VAS) 和怀孕结果的数据.
主要成果:
- 支架时的平均年龄为46.5岁;基线狭窄平均为77.4%.
- 疼痛的严重程度与年龄较小,狭窄程度和OVR存在相关.
- 在5年的随访中,98%的患者表现出疼痛改善,73%的患者实现了完全的疼痛缓解.
- 怀孕后支架没有引起疼痛复发;没有发生支架并发症.
结论:
- 阴静脉支架提供持久的CPP缓解,即使有剩余的OVR.
- 该程序对静脉起源的CPP有效,特别是在年轻女性中.
- 怀孕后支架是安全的,没有对疼痛或支架通透性的不良影响.
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