慢性静脉功能不全的深静脉逆流正的系统审查和元分析
Oscar Maleti1, Massimiliano Orso2, Marzia Lugli1
1National reference Training Center in Phlebology, UEMS, Vascular Surgery, Cardiovascular Department Hesperia Hospital, Modena, Italy.
概括
深静脉重建手术在慢性静脉不全方面显示出有希望的结果,愈和症状改善率高. 长期跟踪对于深静脉逆流患者的持续结果至关重要.
科学领域:
- 血管外科 血管外科
- 弗莱博学 (Phlebology) 是一种神经病学.
- 干预心脏病学 干预心脏病学
背景情况:
- 慢性静脉功能不全 (CVI) 显著影响患者的生活质量.
- 深静脉反流是CVI的关键病理组成部分.
- 深静脉逆流的外科纠正旨在改善CVI症状和结果.
研究的目的:
- 评估深静脉反流正程序的技术可行性.
- 评估深静脉反流的手术技术,安全性和疗效结果.
- 分析患有原发性无能症和血栓后综合征 (PTS) 的患者的结局.
主要方法:
- 在PubMed,Embase和Web of Science进行系统的文献搜索,截至2022年2月.
- 包括系统性审查,RCT和关于手术治疗深静脉反流的观察性研究.
- 对疗效和安全结果进行的比例元分析.
主要成果:
- 综合了涉及4256名患者的57项研究 (3项RCT,54个病例系列).
- 对于初级无能症,综合估计显示89%的愈,98%的透率和85%的疼痛改善.
- 患有PTS的患者表现不太好,愈了82%,疼痛改善了79%.
结论:
- 深静脉重建手术可能会增强CVI患者的临床改善.
- 结果通常是令人满意的,尽管可能需要辅助程序和严格的后续行动.
- 需要进一步的研究,特别是使用静脉内方法进行比较研究.
相关概念视频
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Varicose Veins II: Diagnostic Studies and Interprofessional Care
15
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
15
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
Venous Return
5.2K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
5.2K
Venous Thrombosis I: Introduction
13
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
13


