[腿部浅静脉血栓形成]。

IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Phlebologie Pub Date : 1993-10-01
M T Barrellier
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引用次数: 0

摘要

本研究涉及1989年10月至1993年2月间,42名男性和63名女性,年龄分别为59 +/- 18岁和64 +/- 18岁,通过超声多普勒诊断的106例浅静脉血栓(SVT)。近半数病例的临床体征为疑似深静脉血栓形成(DVT)(34例)或肺栓塞(PE)(14例)。在105例病例中,有65例发现了所谓的诱发因素:其中11例是已知的癌症。SVT位于左下肢56例,右下肢41例,双侧9例。长隐静脉受累60例,短隐静脉受累22例,双隐静脉受累6例,非侧隐静脉受累17例。38例中,DVT增加到SVT,分别有19例,其中9例为控制性或近距离延伸,7例为弓形静脉延伸,8例为远端穿孔静脉延伸。105例患者中有46例出现深静脉血栓或上室血栓并发症。>或= 60岁与并发症的出现有关。其中3例是在上腔静脉移植后的一个月内发现癌症的。这些结果质疑SVT的良性。它们与最近报道的超声多普勒诊断的两组SVT相匹配。他们强烈要求系统地探索浅静脉和深静脉网络,以达到SVT或不明原因DVT的病因平衡。
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[Superficial venous thromboses of the legs].

The study concerned 106 superficial venous thrombosis (SVT) diagnosed thanks to an echo-Doppler, between october 1989 and february 1993 in 42 men and 63 women aged 59 +/- 18 years and 64 +/- 18 years respectively. In nearly half cases, clinical sign was a suspicion of a deep venous thrombosis (DVT) (34 cases) or a pulmonary embolism (PE) (14 cases). A supposed precipitating factor was found in 65 cases out of 105: a cancer already known in 11 cases. The SVT was located in the left lower limb in 56 cases, in the right lower limb in 41 cases and a bilateral one in 9 cases. The long saphenous vein was affected in 60 cases, the short saphenous vein in 22 cases, both saphenous veins in 6 cases and a non-collateral saphenous vein in 17 cases. In 38 cases, a DVT added to a SVT, either separately in 19 cases, 9 of which in controlateral or by proximity extension from an arch in 7 cases or from a more distal perforating vein in 8 cases. In total, complications, either DVT or SVT, appeared in 46 cases out of 105. The age of > or = 60 has been associated with the presence of complications. In 3 cases, a cancer was discovered in the month following the SVT. These results question the benignancy of SVT. They match those of two series of SVT diagnosed thanks to echo-Doppler and recently reported. They urge to explore systematically both venous networks, superficial and deep and to achieve an etiologic balance either for SVT or unexplained DVT.

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来源期刊
Phlebologie
Phlebologie 医学-外科
CiteScore
1.20
自引率
0.00%
发文量
84
审稿时长
>12 weeks
期刊介绍: Als Forum für die europäische phlebologische Wissenschaft widmet sich die CME-zertifizierte Zeitschrift allen relevanten phlebologischen Themen in Forschung und Praxis: Neue diagnostische Verfahren, präventivmedizinische Fragen sowie therapeutische Maßnahmen werden in Original- und Übersichtsarbeiten diskutiert.
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