关于盆腔静脉疾病的诊断和治疗途径的德尔菲共识 - 一个多学科的算法.
Domenico Baccellieri1, Antonio Basile2, Alessandro Arena3
1Department of Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milan, Italy.
VASA. Zeitschrift fur Gefasskrankheiten
|March 5, 2026
概括
专家们为盆腔静脉疾病 (PeVD) 开发了一种诊断和治疗算法,将其分为盆腔堵塞综合征和阻塞综合征. 内血管治疗是对PeVD管理的标准护理.
科学领域:
- 血管医学 血管医学
- 干预性放射学 干预性放射学
- 妇科外科手术 妇科外科
背景情况:
- 盆腔静脉疾病 (PeVD) 导致慢性盆腔疼痛和静脉由于盆腔静脉缺陷.
- 缺乏标准化的诊断标准使PeVD管理变得复杂.
- 为了建立可靠的诊断和治疗途径,需要专家的共识.
研究的目的:
- 开发和验证PeVD的多学科诊断和治疗算法.
- 在专家之间建立关于PeVD分类和治疗策略的共识.
主要方法:
- 召开了一个由11名意大利专家 (妇科医生,放射科医生,血管外科医生,血管科医生) 组成的咨询委员会.
- 通过文献审查开发了一个算法草案.
- 进行了三轮Delphi调查,共识值≥70%.
主要成果:
- 将PeVD分为盆腔拥堵综合征 (PCS) 和压缩/阻塞综合征.
- 内血管治疗 (PCS的栓塞,阻塞的支架) 是标准的护理.
- 临床成功被定义为3-6个月后症状改善;手术保留给失败的保守/内血管选择.
结论:
- 通过Delphi共识建立了一个经过验证的,用于PeVD诊断和治疗的多学科算法.
- 该算法强调了PeVD的标准化临床途径.
- 建议通过更广泛的专家社区进行进一步验证.
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