泡硬化疗法后的小腿静脉血栓症:一个单一机构的病例系列
Jack K Donohue1, Emily Mosher2, Michael Knapp1
1Division of Vascular Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Journal of vascular surgery. Venous and lymphatic disorders
|September 21, 2025
概括
泡硬化疗法后的骨深静脉血栓 (DVT) 通常在没有干预的情况下消失. 大多数患者经历了症状缓解,这表明观察可能足以对孤立的部DVT进行观察.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 弗莱博学 (Phlebology) 是一种神经病学.
背景情况:
- 超声波引导的泡硬化疗法是表面静脉疾病的常见治疗方法.
- 深静脉血栓症 (DVT),特别是骨DVT,是泡硬化疗法的潜在并发症.
- 骨DVT治疗后的管理策略,包括抗凝血,抗血小板治疗和观察,缺乏标准化的指导方针.
研究的目的:
- 为了调查发生在超声波引导泡硬化疗法后的部DVT的自然史.
- 评估不同管理策略 (抗凝血,抗血小板治疗,观察) 对这些骨DVT的结果.
主要方法:
- 在2016年至2022年间,在泡硬化疗法后发展出骨DVT的患者的回顾性分析.
- 在手术后2,4,6周进行标准化后续双重超声检查.
- 在管理组中对血栓演变和临床症状的比较.
主要成果:
- 9%的患者 (54/622) 在经过硬化疗法后发展出部DVT;所有患者都是治疗后的ipsilateral.
- 没有观察到血栓扩大或肺栓塞的病例.
- 在53%的患者中,发生了完全的血栓分离,其中87%的患者实现了症状分离,无论管理策略如何.
结论:
- 泡硬化疗法后的部DVT通常遵循良性临床过程.
- 常规抗凝或抗血小板疗法可能不需要在无症状的患者与孤立的小腿骨DVT.
- 需要进行进一步的前性研究,以建立基于证据的建议,以管理骨DVT后硬化疗法.
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