Szary Cezary, Wilczko Justyna, Bodziony Anna, Celejewski Krzysztof, Swieczkowski-Feiz Siavash, Napierala Marcin, Plucinska Dominika, Zawadzki Michal, Leszczynski Jerzy, Grzela Tomasz
Clinic of Phlebology, 02-034 Warsaw, Poland.
Medical University of Warsaw, 02-097 Warsaw, Poland.
Diagnostics (Basel). 2023 Jul 25;13(15):2467. doi: 10.3390/diagnostics13152467.
Pelvic venous insufficiency is a common problem in multiparous women. Besides burdensome symptoms, it correlates with the development of venous disease in the lower limbs. Therefore, the sequential treatment of abdominal/pelvic before leg veins could improve treatment effectiveness. The medical records of 243 patients with venous disease who were subjected to sequential treatment were analyzed retrospectively. The symptoms and patient satisfaction were assessed using dedicated questionnaires, both before and after treatment. Clinical effectiveness was verified using a Doppler scan, both before and after treatment. Among 243 analyzed cases, 195 underwent whole treatment; however, 48 women after embolization did not require further intervention. The total-symptom-score change (11.6 vs. 13.0, respectively) and the satisfaction score (1.6 vs. 1.5, respectively) did not differ between groups. After embolization, some patients, besides symptoms improvement, experienced reflux reduction and, hence, might avoid further intervention. A better explanation for this beneficial effect of the sequential/descending approach requires further studies.
盆腔静脉功能不全是经产妇常见的问题。除了症状令人困扰外，它还与下肢静脉疾病的发展相关。因此，先治疗腹部/盆腔静脉再治疗腿部静脉的序贯治疗方法可能会提高治疗效果。对243例接受序贯治疗的静脉疾病患者的病历进行了回顾性分析。在治疗前后，使用专门的问卷对症状和患者满意度进行评估。通过多普勒扫描在治疗前后验证临床疗效。在243例分析病例中，195例接受了全程治疗；然而，48例栓塞后的女性不需要进一步干预。两组之间的总症状评分变化（分别为11.6和13.0）和满意度评分（分别为1.6和1.5）没有差异。栓塞后，一些患者除了症状改善外，还出现反流减少，因此可能避免进一步干预。对于这种序贯/递减方法的有益效果，需要进一步研究以做出更好的解释。
