滚轮山反流的发生率,治疗变化和结果
Sharon Oud1,2, Michael C Mooij3, Michiel A Schreve2,4
1Department of Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Phlebology
|April 4, 2025
概括
过山车反流 (RCR) 影响1.1%的静脉无能症患者. 虽然静脉内热除显示出比超声波引导的泡硬化疗法更高的成功率用于RCR治疗,但所有方法都改善了生活质量.
科学领域:
- 血管外科 血管外科
- 弗莱博学 (Phlebology) 是一种神经病学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 悖论性反流,也称为滚轮车反流 (RCR),是一种罕见的静脉疾病,通常涉及贾科米尼静脉.
- 关于RCR的文献有限,缺乏标准化的治疗方案.
- 高体积的专业中心对于研究罕见的静脉现象至关重要,如RCR.
研究的目的:
- 确定RCR的发生率和特征.
- 评估RCR的治疗变化和结果.
- 在专业环境中评估RCR不同治疗方法的疗效.
主要方法:
- 对怀疑有RCR的静脉不称职的患者进行回顾性查.
- 一项前性队列研究,包括用超声波引导泡硬化疗法 (UGFS),内静脉热移除 (EVTA) 或压缩疗法治疗的患者.
- 双重超声波和VEINES-QoL/Sym问卷,用于基线和1年后期的评估.
主要成果:
- 发现RCR发生率为1.1% (62/5,718名患者).
- 一年内解剖学成功率为UGFS的73.3%,为EVTA的96.6%.
- 常见的并发症包括UGFS的多色素和EVTA的神经损伤;生活质量在所有组都得到改善.
结论:
- RCR是一种罕见的疾病,影响1.1%的患者对静脉不称职进行评估.
- 与UGFS相比,EVTA在治疗RCR方面表现出更高的解剖成功.
- 尽管成功率各不相同,但所有评估的治疗方法都对患者的生活质量产生了积极的影响.
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