关键词: Chronic venous insufficiency Doppler ultrasound digital photoplethysmography venous hemodynamics venous volume

来  源:   DOI:10.1177/02683555241260542

Abstract:
BACKGROUND: Endovenous ablation may not always be necessary for every patient with chronic venous insufficiency who has an indication for endovenous ablation. This study investigates whether compression stockings and Daflon® can be as effective for some patients with CEAP two in chronic venous insufficiency.
METHODS: In this study, 137 patients who had endovenous ablation indication received plethysmographical hemodynamic tests and were divided into two groups. Group 1 had normal venous hemodynamics and received compression stockings and Daflon®. Group 2 had abnormal function and received laser ablation. All patients were reevaluated after 6 months.
RESULTS: The study showed that there was no statistically significant difference between Groups 1 and 2 in the 6th month measurements after the treatments.
CONCLUSIONS: As a result, we do not find it appropriate and do not recommend that every patient with complaints of chronic venous insufficiency and an indication for endovenous ablation undergo ablation without evaluating lower extremity venous hemodynamics.
摘要:
背景:对于有静脉内消融指征的慢性静脉功能不全患者,静脉内消融可能并不总是必要的。这项研究调查了压力袜和Daflon®对于某些患有慢性静脉功能不全的CEAP2患者是否同样有效。
方法:在本研究中,137例有腔内消融指征的患者接受了体积描记血流动力学测试,并分为两组。第1组的静脉血流动力学正常,并接受了压迫袜和Daflon®。第2组功能异常,接受激光消融。6个月后对所有患者进行重新评估。
结果:研究表明,在治疗后第6个月的测量中,第1组和第2组之间没有统计学上的显着差异。
结论:因此,我们认为这样做不合适,也不建议每位有慢性静脉功能不全主诉且有腔内消融指征的患者在不评估下肢静脉血流动力学的情况下接受消融治疗.
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