静脉内激光切除 vs 足部静脉静脉切除术
Luiz Fernando Albernaz1, Alexandre Reis E Silva2, Daiane Taís Schlindwein Albernaz1
1Clínica Albernaz, Novo Hamburgo, Brazil.
Journal of vascular surgery. Venous and lymphatic disorders
|November 17, 2023
概括
静脉内激光切除术 (EVLA) 和门诊除术为足部静脉提供了类似的结果和改善了足部静脉的生活质量. 两种治疗方法之间的并发症率是可比的,EVLA更常见的是短暂的硬化.
科学领域:
- 血管外科 血管外科
- 最少侵入性手术的方法
- 弗莱博学 (Phlebology) 是一种神经病学.
背景情况:
- 足部静脉炎影响着相当一部分人群,影响美学和生活质量.
- 传统的治疗方法有局限性,这促使人们研究新的,不那么侵袭的方法.
- 静脉内激光切除术 (EVLA) 和外科医疗 (Phlebectomy) 是静脉缺陷的已知治疗方法.
研究的目的:
- 为了比较EVLA的临床结果和并发症率与用于治疗美容足部静脉瘤的门诊除术.
- 评估这两种手术对疾病严重程度和患者生活质量的影响.
- 为临床医生提供基于证据的见解,帮助他们选择足部静脉疾病的治疗方法.
主要方法:
- 一项比较性研究分析了2016年10月至2022年2月期间,从171名接受EVLA或切除术的患者中,分析了270英尺的EVLA或切除术.
- 用临床,病因学,解剖学和病理生理学 (CEAP) 系统对患者进行分类.
- 结果使用静脉临床严重性评分 (VCSS) 和阿伯丁静脉静脉问卷 (AVVQ) 进行了评估,并进行了临床和超声波评估.
主要成果:
- 在对生活质量或疾病严重程度的影响方面,没有观察到EVLA和切除术之间的显著差异.
- 在这两组人群中,麻醉是最常见的并发症.
- 过渡性硬化在EVLA组 (7.1%) 与切除组 (0.0%) 相比显著更常见.
结论:
- 无论是EVLA还是门诊切除术,都显示出可比的疗效和安全性概况,用于管理美容足部静脉.
- 观察到的并发症率与这些程序的现有文献一致.
- 治疗选择可以由患者特定的因素和程序细微差别来指导,因为结果在很大程度上是相似的.
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
14
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...
14
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
Varicose Veins I: Introduction
9
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
9
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 Thrombosis II: Clinical Manifestations and Diagnostic Studies
12
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...
12
Esophageal Varices-II: Clinical Features and Management
72
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
72


