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肺栓塞在下肢深静脉血栓合并髂静脉压迫综合征的病人中的发病率研究
发布日期:2017-08-15 11:15:13

Int Angiol. 2016 Apr;35(2):178-83. Epub 2015 Feb 12.
The incidence of pulmonary embolism in patients with combined lower extremity deep venous thrombosis and iliac vein compression syndrome.
Li WD, DU XL, Li XQ, Lei FR, Qian AM, Meng QY.

Abstract
      The aim of this study was to investigate the risk of symptomatic pulmonary embolism (PE) in patients with combined lower extremity deep vein thrombosis (DVT) and iliac vein compression syndrome (IVCS). Between January 2011 and February 2014, 399 patients diagnosed with combined lower extremity DVT and IVCS at the Second Affiliated Hospital of Soochow University were included in this retrospective study. The odds of symptomatic PE versus combined lower extremity DVT and IVCS were assessed using logistic regression models. The association between thrombophilic risk factors, stenosis, collateral filling, endovascular thrombolysis, and symptomatic PE were assessed. 28 (7.0%) presented with symptomatic PE among these 399 patients. Among the risk factors, collateral filling (odds ratio [OR]=2.61, 95%CI:1.07-6.37, P=0.035) and endovascular thrombolysis (OR=0.32, 95%CI:0.14-0.74, P=0.008) were significantly and independently associated with the presence of PE.    Among patients with combined lower extremity DVT and IVCS, the grade of collateral filling and endovascular thrombolysis treatment are the risk factors associated with the presence of PE.
      为了研究肺栓塞在下肢深静脉血栓合并髂静脉压迫综合征的病人中的发病率,2011年至2014年期间我们共收集了399位病人信息进行统计分析。该回顾性研究分析了血栓形成的危险因素、血管狭窄、侧支充盈、血管内溶栓和症状性肺栓塞间的关系。研究结果表明这399名患者中28位发生了肺栓塞,侧支充盈和血管内溶栓是肺栓塞发生的两个重要且独立的影响因素。

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