在患有盆腔静脉疾病的患者中,小腿肌肉静脉功能障碍
Sergey G Gavrilov1, Anatoly V Karalkin1, Ekaterina P Moskalenko1
1Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russia.
Annals of vascular surgery
|March 26, 2025
概括
小牛肌肉静脉 (CMP) 功能障碍在盆腔静脉疾病 (PeVD) 中很常见,约80%的患者受到影响. 这种功能障碍会影响静脉回归,不论是PeVD症状还是同时存在的慢性静脉疾病 (CVD).
科学领域:
- 血管医学 血管医学
- 医疗成像医学成像
- 生理学 生理学 生理学
背景情况:
- 骨盆静脉疾病 (PeVD) 是一种影响从骨盆返回静脉的疾病.
- 小牛肌肉静脉 (CMP) 在下肢静脉回归中起着至关重要的作用.
- 了解PeVD中的CMP功能对于诊断和管理至关重要.
研究的目的:
- 在被诊断患有骨盆静脉障碍 (PeVD) 的患者中研究小腿肌肉静脉 (CMP) 的疏散功能.
- 评估患有PeVD,有或没有慢性静脉疾病 (CVD) 的个体中CMP功能障碍的患病率和特征.
主要方法:
- 一项涉及170名患有PeVD和/或CVD的女性患者和20名健康志愿者的横截面研究.
- 使用双重超声波 (DUS),放射性核素静脉扫描 (RV) 和单光子发射计算断层扫描 (SPECT) 用标记的红细胞 (RBC).
- 在RV期间,通过增加CMP和尾静脉的同位素过渡时间 (Tave) 确定了CMP功能障碍.
主要成果:
- 在有症状的81.6%和无症状的78.3%的PeVD患者中观察到CMP功能障碍.
- 在患有心血管疾病的患者中,CMP功能障碍的高患病率 (92%) 也被注意到.
- 这种功能障碍的特点是肌 (Tt),肌肉 (Tm) 和骨静脉 (Tpv) 的同位素过渡时间显著延长.
结论:
- 小牛肌肉静脉 (CMP) 功能障碍是大约80%的骨盆静脉障碍 (PeVD) 患者的普遍发现.
- 在PeVD患者中CMP功能障碍的存在在很大程度上独立于PeVD的临床表现或下肢慢性静脉疾病 (CVD) 的同时存在.
- 这些发现凸显了盆腔静脉问题通过CMP对下肢静脉血液动力学的重大影响.
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