[MSB-31]破子综合征的治疗:左静脉转移和支架支架的结果
Sabit Sarikaya1, Hakan Hancer1, Hasan Karasu1
1Koşuyolu Heart Training and Research Hospital, İstanbul, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|May 5, 2025
概括
左静脉转移和内血管支架是对破子综合征的安全,有效的治疗方法. 在大多数患者中,这两种手术方法都成功地解决了常见的症状,如侧翼疼痛和血.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 坚果破碎者综合征,以左静脉 (LRV) 压缩为特征,表现为侧侧疼痛,蛋白尿和出血症等症状.
- 治疗方案旨在缓解静脉高血压并保持功能.
研究的目的:
- 为了评估左静脉 (LRV) 转移和内血管支架对坚果虫综合征的安全性和有效性.
- 为了比较结果,包括发病率,死亡率,并发症,通透率和症状解决.
主要方法:
- 在2019年7月至2024年6月期间接受治疗的20名患有裂坚果综合征的女性患者的回顾性评估.
- 患者接受了LRV转移 (n=15) 或内血管支架 (n=5).
- 主要终点:发病率和死亡率. 二级终点:晚期并发症,通透性,不需要重新干预,症状解决.
主要成果:
- 在任何治疗组中都没有观察到重大并发症或死亡率.
- 症状缓解率:89.5%的侧侧疼痛,57.8%的蛋白尿,82.3%的出血.
- 一年初级通透率为87% (LRV转换:91%,支架:75%);一年无需重新干预为83%.
结论:
- 无论是LRV转移还是内血管支架,都是一种安全有效的对破子综合征的初级治疗选择.
- 每种手术都有独特的优势,根据患者个体因素支持它们的使用.
- 这些干预措施显示出有利的长期通透性和症状缓解.
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