挑战常规:重新考虑 CEAP 2 患者的静脉腔内消融术适应症。

Phlebology Pub Date : 2024-10-01 Epub Date: 2024-06-13 DOI:10.1177/02683555241260542
Hakan Guven, Temmuz Taner, Mustafa Selcuk Atasoy
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引用次数: 0

摘要

导言:静脉内消融不一定适用于所有有静脉内消融适应症的慢性静脉功能不全患者。本研究探讨了弹力袜和达夫隆®是否对部分慢性静脉功能不全CEAP二期患者同样有效:在这项研究中,137 名有静脉内消融指征的患者接受了胸透血流动力学测试,并被分为两组。第一组静脉血流动力学正常,接受弹力袜和达夫隆®治疗。第二组功能异常,接受激光消融术。所有患者均在 6 个月后接受复查:研究结果表明,在治疗后第 6 个月的测量结果中,第 1 组和第 2 组之间没有明显的统计学差异:因此,我们认为在未评估下肢静脉血流动力学的情况下,让每一位主诉慢性静脉功能不全并有静脉内消融术指征的患者接受消融术是不合适的,也不建议这样做。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenging conventions: Reconsidering the indication for endovenous ablation in CEAP 2 patients.

Introduction: Endovenous ablation may not always be necessary for every patient with chronic venous insufficiency who has an indication for endovenous ablation. This study investigates whether compression stockings and Daflon® can be as effective for some patients with CEAP two in chronic venous insufficiency.

Methods: In this study, 137 patients who had endovenous ablation indication received plethysmographical hemodynamic tests and were divided into two groups. Group 1 had normal venous hemodynamics and received compression stockings and Daflon®. Group 2 had abnormal function and received laser ablation. All patients were reevaluated after 6 months.

Results: The study showed that there was no statistically significant difference between Groups 1 and 2 in the 6th month measurements after the treatments.

Conclusion: As a result, we do not find it appropriate and do not recommend that every patient with complaints of chronic venous insufficiency and an indication for endovenous ablation undergo ablation without evaluating lower extremity venous hemodynamics.

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