Dua Anahita, Desai Sapan S, Kumar Naveen, Heller Jennifer
Center for Translational Injury Research (CeTIR), Department of Surgery, University of Houston-Texas, Houston, TX, USA Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
Department of Vascular Surgery, Southern Illinois University, Springfield, IL, USA.
Vascular. 2015 Dec;23(6):599-601. doi: 10.1177/1708538114565693. Epub 2015 Jan 9.
This study aimed to determine the epidemiology of iliac vein thrombophlebitis and describe gender differences associated with the management of this pathology.
The 2010 National Inpatient Sample was retrospectively reviewed to include all inpatients with ICD-9 codes identifying iliac vein thrombophlebitis (451.81). Demographics, disposition, anticoagulation, thrombolytics, stent placement, open operative intervention, complications (deep vein thrombosis/pulmonary embolism), and mortality rates were reported. Statistical analysis included descriptive statistics and Student's t-testing with P < 0.05 deemed significant.
The incidence of iliac vein thrombophlebitis was 1/1,000,000 people. Men had an average age of 48 ± 20 years and women were significantly older at 59 ± 18 years (P = 0.02). There were no differences in treatment strategies or rates of complications between men and women including pulmonary embolism (23% for males, 16% of females) and deep vein thrombosis (29% for males and 19% for females). Length of stay between groups was not significant (11 ± 20 days for males and 7.7 ± 6 days for females). Overall mortality was 1.5%.
Iliac vein thrombophlebitis is a rare disease. Females who develop iliac vein thrombophlebitis are significantly older than their male counterparts. The rates of deep vein thrombosis, pulmonary embolism, and interventional strategies are not different between the sexes.
本研究旨在确定髂静脉血栓性静脉炎的流行病学情况，并描述与该病症治疗相关的性别差异。
回顾性分析2010年全国住院患者样本，纳入所有具有识别髂静脉血栓性静脉炎的ICD-9编码（451.81）的住院患者。报告了人口统计学资料、出院情况、抗凝治疗、溶栓治疗、支架置入、开放手术干预、并发症（深静脉血栓形成/肺栓塞）及死亡率。统计分析包括描述性统计和Student t检验，P < 0.05被视为具有统计学意义。
髂静脉血栓性静脉炎的发病率为1/1,000,000人。男性的平均年龄为48 ± 20岁，女性明显年长，为59 ± 18岁（P = 0.02）。男性和女性在治疗策略或并发症发生率方面没有差异，包括肺栓塞（男性为23%，女性为16%）和深静脉血栓形成（男性为29%，女性为19%）。两组之间的住院时间无显著差异（男性为11 ± 20天，女性为7.7 ± 6天）。总体死亡率为1.5%。
髂静脉血栓性静脉炎是一种罕见疾病。发生髂静脉血栓性静脉炎的女性比男性明显年长。深静脉血栓形成、肺栓塞的发生率及介入治疗策略在性别之间没有差异。
