静脉曲张的治疗。
The treatment of varicose veins.
作者信息
Subramonia S, Lees T A
机构信息
Department of General Surgery, Queen's Medical Centre, Nottingham, UK.
出版信息
Ann R Coll Surg Engl. 2007 Mar;89(2):96-100. doi: 10.1308/003588407X168271.
INTRODUCTION
Over the past few years, there has been a move to less invasive endoluminal methods in the treatment of lower limb varicose veins combined with a renewed interest in sclerotherapy, with the recent addition of foam sclerotherapy. The development of these new techniques has led many to question some of the more conventional teaching on the treatment of varicose veins. This review examines these new treatments for lower limb varicose veins and the current evidence for their use.
MATERIALS AND METHODS
An extensive search of available electronic and paper-based databases was performed to identify studies relevant to the treatment of varicose veins with particular emphasis on those published within the last 10 years. These were analysed by both reviewers independently.
RESULTS
There is no single method of treatment appropriate for all cases. Conventional surgery is safe and effective and is still widely practised. Whilst the new treatments may be popular with both surgeons and patients, it is important that they are carefully evaluated not only for their clinical benefits and complications when compared to existing treatments but also for their cost prior to their wider acceptance into clinical practice.
引言
在过去几年中，下肢静脉曲张的治疗已转向侵入性较小的腔内方法，同时人们对硬化疗法重新产生兴趣，最近又增加了泡沫硬化疗法。这些新技术的发展使许多人对一些关于静脉曲张治疗的传统教学提出质疑。本综述探讨了这些治疗下肢静脉曲张的新方法及其使用的现有证据。
材料与方法
对可用的电子和纸质数据库进行了广泛搜索，以识别与静脉曲张治疗相关的研究，特别强调过去10年内发表的研究。两位审稿人分别对这些研究进行了分析。
结果
没有一种单一的治疗方法适用于所有病例。传统手术安全有效，仍被广泛应用。虽然新疗法可能受到外科医生和患者的欢迎，但重要的是，不仅要仔细评估它们与现有治疗方法相比的临床益处和并发症，还要在更广泛地应用于临床实践之前评估其成本。
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