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在患有静脉的患者中,射频除和CHIVA手术之间的比较
Seungjoon Lee1, Sangchul Yun1, Jihyoun Lee1
1Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea.
Phlebology
|June 6, 2023
概括
静脉缺陷保护和血液动力学 (CHIVA) 提供了与静脉反流的射频切除相似的结果. 在特定的患者中,CHIVA可能更简单,更有效,住院时间更短.
科学领域:
- 血管外科 血管外科
- 弗莱博学 (Phlebology) 是一种神经病学.
- 最少侵入性手术的方法
背景情况:
- 静脉反流是一种常见的疾病,需要有效的治疗.
- 射频除是静脉缺陷的标准治疗方法.
- 静脉缺陷保护和血液动力学 (CHIVA) 是一种替代策略.
研究的目的:
- 为了比较CHIVA的疗效和安全性与射频除.
- 为了确定CHIVA程序的潜在优势.
主要方法:
- 追溯分析了来自166名患者的212个四肢.
- 临床复发,超声波复发,生活质量和并发症的比较.
- 倾向性得分匹配被用于患者组比较.
主要成果:
- 在CHIVA组观察到较短的住院时间.
- 在临床复发,超声波复发,生活质量或CHIVA和射频废除之间的并发症中没有显著差异.
- 较大的手术前石静脉直径与复发有关.
结论:
- 在治疗静脉逆流时,CHIVA显示了与射频除可比的结果.
- 在静脉直径较大的病例中,超声波复发更频繁.
- 对于精心挑选的患者来说,CHIVA 是一种潜在的更简单,更有效的治疗选择.
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