用不同的静脉疾病专用量表评估患有深静脉血栓的贝赫切特病患者的静脉疾病。

Phlebology Pub Date : 2024-09-01 Epub Date: 2024-05-29 DOI:10.1177/02683555241257868
Aysun Aksoy, Seda Colak, Burcu Yagiz, Belkıs Nihan Coskun, Ahmet Omma, Alper Sarı, Nuh Atas, Can Ilgın, Omer Karadag, Abdülsamet Erden, Yasin Yildiz, Ediz Dalkılıç, Haner Direskeneli, Fatma Alibaz-Oner
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引用次数: 0

摘要

目的:血栓后综合征(PTS)是白塞氏病(BD)患者深静脉血栓形成(DVT)的一个常见且重要的后果。尽管有多种临床量表可用于诊断血栓后综合征,但 Villalta 量表被公认为诊断和分级血栓后综合征严重程度的标准工具。在普通人群中,PTS 患者的生活质量(Qol)较差,但对患有 PTS 的 BD 患者的研究却很有限。我们的目的是比较不同量表在评估有深静脉血栓病史的 BD 患者静脉疾病方面的表现,并评估其与生活质量的关系:研究对象为有深静脉血栓病史的 BD 患者(n = 194,男/女:157/37,年龄:39.1 ± 9.5 岁)。分别使用 Villalta、VCSS、CEAP 量表和 SF 36 Veines 量表评估静脉疾病和 QoL:在 BD 患者中,有 120 人(61.9%)被 Villalta 诊断为有 PTS,其中 18% 的患者有严重的 PTS。根据 Villalta 量表,半数 CEAP 评分为 4 分的患者和近三分之二 VCSS 分类的重度心血管疾病患者被归入重度 PTS 组。与没有 PTS 的患者相比,VCSS 和 Villalta 分级的 PTS 患者的疾病特异性和一般 Qol 评分都有所下降。此外,与轻度/中度组相比,重度 PTS 组(根据 VCSS)的静脉 QoL 评分和 PCS 均有所下降:结论:深静脉血栓的 BD 患者发生 PTS 的风险很高。我们的研究结果表明,Villalta 量表和 VCSS 均应用于评估深静脉血栓 BD 患者的静脉疾病。然而,VCSS对PTS严重程度的分类与静脉疾病特有的QoL有更好的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of venous disease with different venous disease specific scales in Behçet's disease patients with deep vein thrombosis.

Objectives: Post-thrombotic syndrome (PTS) is a frequent and important consequence of deep vein thrombosis (DVT) for Behcet`s disease (BD) patients. Although various clinical scales are used to diagnose PTS, Villalta scale was accepted as the standard tool to diagnose and grade the severity of PTS. Poor quality of life (Qol) in the general population was defined for patients with PTS, however, studies in BD patients with PTS is limited. Our aim was to compare the performance of different scales to assess venous disease in BD patients with a history of DVT and to assess the relationship with quality of life.Methods: Patients with BD (n = 194, M/F:157/37, age:39.1 ± 9.5 years) with a DVT history were investigated. Villalta, VCSS,CEAP scale and SF 36,Veines scales were used to assess venous disease and QoL respectively.Results: Among BD patients, 120 (61.9 %) patients were classified as having PTS by Villalta and of patients 18% had severe PTS. Half of patients with CEAP score <4 were classified as having PTS. Also, 42% of patients with CEAP>4 and almost two third of VCSS classified severe CVD patients was grouped in severe PTS by Villalta scale. VCSS and Villalta classified PTS patients had decreased disease specific and general Qol scores compared to the patients without PTS. Also, severe PTS group (by VCSS) had decreased veines QoL scores and PCS compared to mild/moderate group.Conclusion: BD patients with DVT have a high risk of PTS. Our results show that both Villalta scale and VCSS should be used to assess venous disease BD patients with DVT. However, VCSS classified severity of PTS can show better correlation with venous disease -specific QoL.

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