在膝下骨干静脉硬化疗法后,仅进行股与额外的偏心压缩:A SOVAECS前性随机人体内试验
Kilsoo Yie1, Eun-Hee Jeong1, Eun-Jung Hwang1
1Department of Surgery, College of Medicine, Pusan National University, and Jeju Soo Cardiovascular Center, Jeju, South Korea.
Journal of vascular surgery. Venous and lymphatic disorders
|August 3, 2023
概括
在干部沙发静脉中进行泡硬化疗法后进行额外的异常压缩,与普通压缩相比,没有显著的临床益处. 需要进一步的研究来确定最佳的压缩策略后硬化疗法.
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:
- 泡硬化疗法是大沙静脉 (GSV) 反流的常见治疗方法.
- 在此程序之后,额外的偏心压缩的作用仍然未被充分探索.
- 优化后硬化疗法压缩对于治疗疗效和患者的治疗结果至关重要.
研究的目的:
- 为了评估额外的异常压缩与正常压缩的临床效应,在干部沙发静脉泡硬化疗法后.
- 为了比较两种压缩方法之间的阻塞范围,疼痛程度和重复程序的需要.
- 评估与不同压缩策略相关的患者满意度和并发症率.
主要方法:
- 一项前性,随机化,单盲,人体内研究,涉及42名接受双边GSV治疗的患者 (84个四肢).
- 患者接受了膝盖以上的静脉内移除和膝盖以下的泡硬化疗法.
- 在手术后的24小时内,双边干部沙静脉被用常规的II类压缩 (RC组) 或额外的偏心压缩 (AC组) 治疗.
主要成果:
- 与普通子相比,异常压缩显著增加了亚压缩压力 (P=.000).
- 在AC和RC组之间没有观察到闭塞范围,术后疼痛,需要额外的硬化疗法或皮肤色素的统计学上显著差异.
- 术后24小时患者报告的满意度在各组之间相似 (P=.317),并且在一个月内没有发现与手术相关的并发症.
结论:
- 在干静脉泡硬化疗法后,24小时的额外异常压缩对传统的膝盖水平子没有明显的临床优势.
- 选择压缩疗法后泡硬化疗法应该是个性化的,并基于全面的患者评估.
- 目前的证据不支持仅仅基于这项研究的发现,对额外的偏心压缩的常规使用.
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