静脉曲张治疗不仅能减轻接受治疗的腿部水肿,还能减轻全身水肿。

Phlebology Pub Date : 2024-09-01 Epub Date: 2024-05-09 DOI:10.1177/02683555241251647
Shinji Tomita, Takuya Mizukami, Yutaka Koyama, Masahiro Inagaki, Satoki Ozoe, Yasuhide Okawa
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引用次数: 0

摘要

目的我们利用生物电阻抗分析法研究了细胞外水分比率(E/T),从而探讨了静脉曲张与水肿之间的联系:在一项前瞻性队列研究中,120 名患者接受了静脉曲张手术,并使用身体成分分析仪测量了细胞外液与身体总水分的比率(E/T)以及术后 E/T 除以术前 E/T 的比率(E/T 比率)。E/T≥0.390即为水肿。79名患者接受了单侧治疗,41名患者接受了双侧治疗:术前,接受治疗的患者腿部水肿(0.394 ± 0.009),未接受治疗的患者腿部水肿(0.392 ± 0.009),躯干水肿(0.390 ± 0.007),全身水肿(0.391 ± 0.007)。术后,全身的 E/T 均有所下降(p < .05)。接受治疗的腿部 E/T 比率最低(0.991 ± 0.012),其次是未接受治疗的腿部(0.994 ± 0.012)、躯干(0.995 ± 0.009)和全身(0.994 ± 0.009)。双侧组的 E/T 比值低于单侧组(P < .05):结论:静脉曲张会导致全身水肿,治疗可减轻治疗腿部和全身的水肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Varicose vein treatment reduces edema not only in the treated legs but also in the entire body.

Objectives: We explored the connection between varicose vein and edema, by investigating extracellular water ratio (E/T) using bioelectrical impedance analysis.

Methods: In a prospective cohort study 120 patients underwent varicose vein surgery with extracellular fluid to total body water ratio (E/T) and E/T postop divided by E/Tpreop (E/T ratio) measured using a body composition analyzer. Edema was defined as E/T ≥0.390. Seventy-nine patients received unilateral treatment, while 41 underwent bilateral. p < .05 is statistically significant.

Results: Preoperatively, patients exhibited edema (E/T) in the treated leg (0.394 ± 0.009), untreated leg (0.392 ± 0.009), trunk (0.390 ± 0.007), and whole body (0.391 ± 0.007). Postoperatively, E/T decreased across body (p < .05). The lowest E/T ratio was observed in the treated leg (0.991 ± 0.012), followed by the untreated leg (0.994 ± 0.012), the trunk (0.995 ± 0.009), and the whole body (0.994 ± 0.009). E/T ratio of bilateral group were lower than unilateral group (p < .05).

Conclusion: Varicose vein contributes to generalized edema, and treatment alleviates edema in the treated leg and the entire body.

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