一种简单的栓塞方法来治疗盆腔拥堵综合征,而不会影响临床有效性
Eisen Liang1, Wai Yan Timothy Wong2, Razeen Parvez1
1Sydney Fibroid Clinic, Sydney, New South Wales, Australia.
Journal of medical imaging and radiation oncology
|October 20, 2024
概括
保持简单 (KIS) 方法有效地治疗盆腔拥堵综合征 (PCS),仅通过栓塞反流静脉. 这种有针对性的方法实现了高的成功率,减少了对广泛程序的需求.
科学领域:
- 干预性放射学 干预性放射学
- 血管医学 血管医学
- 妇科 妇科医生 妇科
背景情况:
- 盆腔堵塞综合征 (PCS) 是一种导致慢性盆腔疼痛的疾病.
- 有两种治疗方法:保持简单 (KIS) 和广泛 (EXT).
- KIS方法只针对反流动静脉,而EXT在经验上治疗多个骨盆静脉.
研究的目的:
- 评估 KIS 方法在治疗 PCS 的有效性.
- 为了确定KIS是否可以最大限度地减少使用的经过处理的静脉和线圈.
- 评估KIS是否可以避免使用硬化剂和闭塞气球.
主要方法:
- 对154名女性进行了回顾性队列研究,这些妇女接受了疑似PCS的静脉图.
- 反流动静脉用KIS栓塞治疗,使用最小的线圈和硬化泡.
- 在6周和1-5年后通过评估症状改善的调查进行随访.
主要成果:
- 139名妇女有可治疗的反流动静脉.
- 6周后的临床成功率为89%,1-5年后的临床成功率为84%.
- 显著减少疼痛 (5.2分VAS) 没有并发症.
结论:
- 在治疗PCS时,KIS方法是有效的.
- 所有骨盆静脉的广泛栓塞可能是不必要的.
- KIS在时间,成本和辐射暴露方面提供了潜在的节约.
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