与C6静脉瘤患者相比,CEAP C2疾病患者的逆流模式与C6静脉瘤患者相比
Neel Gadhoke1, Zoe Deol1,2, Richard Kennedy1
1Center for Vascular Medicine, Glen Burnie, MD, USA.
Phlebology
|January 29, 2025
概括
慢性静脉功能不全的反流模式根据疾病严重程度而异. C2型疾病显示更多的膝盖以上反流,而C5/6型疾病显示更多的膝盖以下反流,无论结节反流是否存在.
科学领域:
- 血管医学 血管医学
- 弗莱博学 (Phlebology) 是一种神经病学.
- 静脉疾病研究 静脉疾病研究
背景情况:
- 慢性静脉衰竭 (CVI) 是使用CEAP系统进行分类的.
- CEAP疾病严重程度与特定静脉逆流模式之间的关系尚不清楚.
- 了解这些模式可以完善CVI的诊断和治疗策略.
研究的目的:
- 调查不同的反流模式是否与不同的CEAP疾病严重程度分类 (C2与C5/6) 有关.
- 为了测试反流模式在C2和C5/6疾病患者之间存在差异的假设.
- 分析反流模式与结节反流和疾病位置 (膝盖以上和膝盖以下) 的关联.
主要方法:
- 对21335名患有症状C2或C5/6疾病的患者进行了多中心回顾性队列分析.
- 回顾大沙发静脉 (GSV),小沙发静脉 (SSV),深静脉和穿孔器中反流模式的回顾.
- 对逆流模式的分析与沙菲诺关节 (SFJ) 逆流的存在或不存在有关.
主要成果:
- 患有C5/6疾病的患者年龄较大,性别分布不同于患有C2疾病的患者 (p ≤ .001).
- SFJ反流与更广泛的膝盖以上GSV反流有关 (C2: 14.85%与C5/6: 27.50%).
- 孤立的膝下穿孔器逆流 (79.56%) 和深系统逆流 (38.5%) 在C5/6疾病中更为普遍,而孤立的膝上SSV逆流在C2疾病中更为常见 (26.67%).
结论:
- 关节性反流的存在与疾病的位置 (膝盖上方/下方) 更多相关,而不是CEAP分类.
- SFJ反流与广泛的膝关节以上疾病相关.
- 孤立的膝下逆流与C5/6疾病显著相关,孤立的膝上表面逆流与C2疾病相关,独立于结节逆流.
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