Saarinen Jukka
TAYS, verisuonikirurgian yksikkö.
Duodecim. 2013;129(17):1833-8.
Findings of venous insufficiency in the lower limb can usually be detected in connection with venous edema. Realization of compression therapy requires a prescription for stockings, motivation and guidance. In specialized care, correlating the edema and venous symptoms with color Doppler ultrasonography findings is essential. In addition to the assessment of the venous status, functioning of the calf muscle pump should be assessed more profoundly. Impeding symptoms of venous insufficiency or a complicated situation are an indication for invasive treatment. Venous return found in connection with mere edema symptoms or lymphedema is not an indication for invasive treatment.
下肢静脉功能不全的表现通常可与静脉水肿相关联而被检测到。实施压迫疗法需要开具弹力袜处方、给予患者动力和指导。在专科护理中,将水肿和静脉症状与彩色多普勒超声检查结果相关联至关重要。除了评估静脉状况外,还应更深入地评估小腿肌肉泵的功能。静脉功能不全的阻碍性症状或复杂情况是侵入性治疗的指征。仅与水肿症状或淋巴水肿相关的静脉回流不是侵入性治疗的指征。