Introduction: There is currently no consistent classification of the extent of left common iliac vein compression syndromes such that clinicians working in the area have a common terminology. Hypothesis: To create a c...Introduction: There is currently no consistent classification of the extent of left common iliac vein compression syndromes such that clinicians working in the area have a common terminology. Hypothesis: To create a classification of left common iliac vein compression based on the end point of triplanar pelvic phlebogrpahy. Methods: Based on 61 consecutive patients found to have left common iliac vein compression on triplanar phlebography in the course of treatment of venous disease, clinical presentation and symptomatology were retrospectively used to create a classification of left common iliac vein compression. Treatment of left common iliac vein compression was also retrospectively correlated with staging. Results: The following classification was arrived at: Stage 0, no compression and no intraluminal fibrous bands;Stage 1, evidence of compression by surrounding anatomical structures with or without the presence of fibrous bands;Stage 2: evidence of compression with or without fibrous bands as evidenced by cross-pelvic collaterals;Stage 3: compression of the left common iliac vein. Fibrous bands replaced by localised occlusion, with collateralisation and no involvement of adjacent venous segments;Stage 4a: as for Stage 3 but with the addition of thrombotic involvement of adjacent venous segments;Stage 4b: as for Stage 4a but with involvement of distal venous segments, femoral and popliteal. Stages 3, 4a or 4b correlated well with clinical presentations of DVT, PE, venous ulceration, vulval or cross-pelvic collaterals, ipsilateral limb swelling and claudication. The presence of varicose veins or recurrent varicose veins was a common finding amongst all groups. Conclusion: Acceptance of this classification system would provide a common terminology to allow more transparent assessment of modalities of treatment for this condition.展开更多
目的调查宫颈癌术后放化疗患者失志现状,并分析其影响因素,为制定针对性护理措施提供参考依据。方法采用便利抽样法,抽取2022年1月至4月新疆医科大学附属肿瘤医院的210例宫颈癌术后放化疗患者为研究对象。使用一般资料调查表、简化版失...目的调查宫颈癌术后放化疗患者失志现状,并分析其影响因素,为制定针对性护理措施提供参考依据。方法采用便利抽样法,抽取2022年1月至4月新疆医科大学附属肿瘤医院的210例宫颈癌术后放化疗患者为研究对象。使用一般资料调查表、简化版失志量表(the short demoralization scale,DS-Ⅱ)、盆底功能障碍简表(pelvic floor distress inventory-short form 20,PFDI-20)、癌症治疗功能评价系统量表(functional assessment of cancer therapy generic scale,FACT-G)进行问卷调查,采用单因素分析、相关性分析和多元线性逐步回归分析方法对失志的影响因素进行筛选。结果204例患者完成调查。失志总分为15.0(9.0,18.0)分。单因素分析结果显示,不同年龄、文化程度、职业、子女数目、家庭人均月收入、手术方式和术前是否做过盆底康复训练的宫颈癌术后放化疗患者其失志得分比较,差异均有统计学意义(均P<0.05)。Spearman相关分析结果显示,失志与盆底功能障碍呈正相关(r=0.714,P<0.01),与生活质量呈负相关(r=-0.661,P<0.01)。多因素分析结果显示,文化程度、手术方式、盆底功能障碍和生活质量是失志的影响因素,共同解释失志水平总变异的76.3%(P<0.001)。结论宫颈癌术后放化疗患者失志处于中等水平,有待提升,医护工作者可根据影响因素进行干预,特别重视患者盆底功能障碍和生活质量差者,以降低其失志水平。展开更多
文摘Introduction: There is currently no consistent classification of the extent of left common iliac vein compression syndromes such that clinicians working in the area have a common terminology. Hypothesis: To create a classification of left common iliac vein compression based on the end point of triplanar pelvic phlebogrpahy. Methods: Based on 61 consecutive patients found to have left common iliac vein compression on triplanar phlebography in the course of treatment of venous disease, clinical presentation and symptomatology were retrospectively used to create a classification of left common iliac vein compression. Treatment of left common iliac vein compression was also retrospectively correlated with staging. Results: The following classification was arrived at: Stage 0, no compression and no intraluminal fibrous bands;Stage 1, evidence of compression by surrounding anatomical structures with or without the presence of fibrous bands;Stage 2: evidence of compression with or without fibrous bands as evidenced by cross-pelvic collaterals;Stage 3: compression of the left common iliac vein. Fibrous bands replaced by localised occlusion, with collateralisation and no involvement of adjacent venous segments;Stage 4a: as for Stage 3 but with the addition of thrombotic involvement of adjacent venous segments;Stage 4b: as for Stage 4a but with involvement of distal venous segments, femoral and popliteal. Stages 3, 4a or 4b correlated well with clinical presentations of DVT, PE, venous ulceration, vulval or cross-pelvic collaterals, ipsilateral limb swelling and claudication. The presence of varicose veins or recurrent varicose veins was a common finding amongst all groups. Conclusion: Acceptance of this classification system would provide a common terminology to allow more transparent assessment of modalities of treatment for this condition.
文摘目的调查宫颈癌术后放化疗患者失志现状,并分析其影响因素,为制定针对性护理措施提供参考依据。方法采用便利抽样法,抽取2022年1月至4月新疆医科大学附属肿瘤医院的210例宫颈癌术后放化疗患者为研究对象。使用一般资料调查表、简化版失志量表(the short demoralization scale,DS-Ⅱ)、盆底功能障碍简表(pelvic floor distress inventory-short form 20,PFDI-20)、癌症治疗功能评价系统量表(functional assessment of cancer therapy generic scale,FACT-G)进行问卷调查,采用单因素分析、相关性分析和多元线性逐步回归分析方法对失志的影响因素进行筛选。结果204例患者完成调查。失志总分为15.0(9.0,18.0)分。单因素分析结果显示,不同年龄、文化程度、职业、子女数目、家庭人均月收入、手术方式和术前是否做过盆底康复训练的宫颈癌术后放化疗患者其失志得分比较,差异均有统计学意义(均P<0.05)。Spearman相关分析结果显示,失志与盆底功能障碍呈正相关(r=0.714,P<0.01),与生活质量呈负相关(r=-0.661,P<0.01)。多因素分析结果显示,文化程度、手术方式、盆底功能障碍和生活质量是失志的影响因素,共同解释失志水平总变异的76.3%(P<0.001)。结论宫颈癌术后放化疗患者失志处于中等水平,有待提升,医护工作者可根据影响因素进行干预,特别重视患者盆底功能障碍和生活质量差者,以降低其失志水平。
