Department of Vascular Surgery, Black Country Vascular Network, Dudley, United Kingdom.
Department of Vascular Surgery, Black Country Vascular Network, Dudley, United Kingdom.
J Vasc Surg Venous Lymphat Disord. 2018 Jul;6(4):546-550. doi: 10.1016/j.jvsv.2018.01.021. Epub 2018 Apr 19.
The aim of this review was to identify the evidence regarding the optimal duration of compression therapy after endovenous ablation of varicose veins.
Electronic databases were searched for studies assessing the use of compression after endovenous ablation in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The primary outcomes for this study were pain score and complications. Secondary outcomes were time to full recovery, quality of life score, leg circumference, bruising score, and compliance rates.
Following strict inclusion and exclusion criteria, five studies were included in our review, including a total of 734 patients. The short-duration compression therapy ranged from 4 hours to 2 days, whereas the longer duration ranged from 3 to 15 days. A single study showed a better outcome in terms of complications with a short compression therapy. A single study showed a benefit to pain and quality of life with extended compression therapy, whereas the others did not. There was no significant difference in terms of bruising, recovery time, and leg swelling.
Our review showed that there is no evidence for the extended use of compression after endovenous ablation of varicose veins.
本综述旨在确定静脉内消融治疗静脉曲张后最佳压迫治疗持续时间的证据。
根据系统评价和荟萃分析报告的首选报告项目，电子数据库中搜索了评估静脉内消融后使用压迫治疗的研究。本研究的主要结局为疼痛评分和并发症。次要结局为完全恢复时间、生活质量评分、腿围、瘀斑评分和依从率。
严格按照纳入和排除标准，共纳入 5 项研究，共计 734 例患者。短疗程压迫治疗时间从 4 小时到 2 天不等，而长疗程从 3 天到 15 天不等。一项研究显示，短疗程压迫治疗在并发症方面有更好的结果。一项研究显示，延长压迫治疗对疼痛和生活质量有获益，而其他研究则没有。在瘀斑、恢复时间和腿部肿胀方面没有显著差异。
本综述表明，静脉内消融治疗静脉曲张后没有延长使用压迫治疗的证据。
