基底静脉通道作为盆腔静脉静脉内血管栓塞的有效替代方案:一项基于人口的回顾性队列研究
Mariana Pinzón-Pinto1, Esteban Portilla-Rojas1, Alejandra González-Córdoba1
1Faculty of Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Vascular
|March 2, 2026
概括
这项研究表明,使用基底静脉进入盆腔拥堵综合征 (PCS) 栓塞是安全有效的. 与传统方法相比,这种方法提供了较高的症状缓解和潜在的效率优势.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 妇科 妇科 妇科 妇科
背景情况:
- 盆腔拥堵综合征 (PCS) 导致女性慢性盆腔疼痛,通常与盆腔静脉有关.
- 对于PCS来说,传统的内血管栓塞使用大腿或关接入,这可能会有更高的并发症风险.
- 基底静脉皮穿入为PCS治疗提供了一个潜在的替代方案.
研究的目的:
- 评估使用基底静脉皮肤通道接入用于PCS患者的骨盆静脉栓塞的安全性,可行性和临床结果.
- 评估与这种新的访问方法相关的症状解决和并发症率.
- 为了比较基底静脉接入对传统途径的潜在好处.
主要方法:
- 一项对292名患有PCS症状的女性进行的回顾性队列研究,这些女性通过距离右基底静脉通道接受了盆腔静脉栓塞.
- 收集的数据包括人口统计,程序细节 (持续时间,线圈使用,并发症) 和术后结果.
- 程序后15天,3个月和6个月的随访.
主要成果:
- 在所有292例使用基底静脉接入的病例中成功进行了栓塞,没有与接入相关的并发症.
- 平均手术时间为41.1分钟;平均每例使用2.6个线圈.
- 达到了95.2%的症状解决;由于线圈迁移导致的肺栓塞的一个病例.
结论:
- 基底静脉通道是PCS中骨盆静脉栓塞的安全和可行的替代方案.
- 这种方法表现出高的技术成功,低的并发症率和出色的症状解决.
- 需要进一步的前性研究来确认与传统方法相比的长期疗效和成本效益.
相关概念视频
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
261
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
261
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
399
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
399
01:29Venous Thrombosis III: Interprofessional Care
426
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
426
01:26Varicose Veins I: Introduction
281
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
281
01:28Esophageal Varices-II: Clinical Features and Management
689
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
689