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静脉曲张:硬化治疗后的最佳压迫疗法

Varicose veins: optimum compression following sclerotherapy.

作者信息

Scurr J H, Coleridge-Smith P, Cutting P

出版信息

Ann R Coll Surg Engl. 1985 Mar;67(2):109-11.

PMID:3883876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2498276/
Abstract

There is uncertainty regarding the most satisfactory technique of lower limb compression following sclerotherapy for varicose veins. We have compared a standard bandaging technique with a high pressure compression stocking in a randomised trial. Efficacy was judged on the success of injections, complications of the treatment and patient satisfaction. In the stockinged legs 144 of 156 injections were successful, compared with 117 of 147 in the bandaged group (P less than 0.001) (Chi squared). The incidence of superficial thrombophlebitis was also reduced in the stocking group. In addition, the stocking technique costs less in materials than conventional bandaging. We would recommend compression stockings for evaluation in sclerotherapy of varicose veins.

摘要

对于静脉曲张硬化治疗后下肢最满意的加压技术存在不确定性。我们在一项随机试验中比较了标准绷带包扎技术与高压弹力袜。疗效根据注射成功率、治疗并发症和患者满意度来判断。穿弹力袜的腿部156次注射中有144次成功,而绷带包扎组147次注射中有117次成功(P<0.001)(卡方检验)。弹力袜组浅静脉血栓形成的发生率也降低了。此外,弹力袜技术的材料成本低于传统绷带包扎。我们建议在静脉曲张硬化治疗中使用弹力袜进行评估。

相似文献

1
Varicose veins: optimum compression following sclerotherapy.静脉曲张:硬化治疗后的最佳压迫疗法
Ann R Coll Surg Engl. 1985 Mar;67(2):109-11.
2
Varicose veins: optimum compression after surgery and sclerotherapy.静脉曲张:手术和硬化治疗后的最佳压迫治疗
Ann R Coll Surg Engl. 1989 Nov;71(6):402-4.
3
A randomised trial of bandaging after sclerotherapy for varicose veins.一项关于静脉曲张硬化治疗后绷带包扎的随机试验。
Phlebologie. 1982 Jan-Mar;35(1):125-31.
4
Selecting a treatment for primary varicose veins.选择原发性静脉曲张的治疗方法。
Can Med Assoc J. 1985 Jul 1;133(1):20-5.
5
Injection sclerotherapy for varicose veins.静脉曲张的注射硬化疗法。
Cochrane Database Syst Rev. 2002(1):CD001732. doi: 10.1002/14651858.CD001732.
6
Current concepts in the management of varicose veins.静脉曲张治疗的当前概念
Can J Surg. 1986 Jan;29(1):21-3.
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Compression-sclerotherapy for varicose veins: a Canadian study.静脉曲张的压迫硬化疗法:一项加拿大的研究。
Can Med Assoc J. 1982 Apr 15;126(8):923-7.
8
Compression sclerotherapy of varicose veins.静脉曲张的压迫硬化疗法。
J R Coll Gen Pract. 1970 Sep;20(98):137-45.
9
Treatment of varicose veins by compression sclerotherapy.
Surg Gynecol Obstet. 1980 Sep;151(3):353-6.
10
Randomized clinical trial of different bandage regimens after foam sclerotherapy for varicose veins.随机临床试验:不同绷带方案在泡沫硬化疗法治疗静脉曲张后的应用。
Br J Surg. 2010 May;97(5):650-6. doi: 10.1002/bjs.6951.

引用本文的文献

1
Medical compression therapy of the extremities with medical compression stockings (MCS), phlebological compression bandages (PCB), and medical adaptive compression systems (MAC) : S2k guideline of the German Phlebology Society (DGP) in cooperation with the following professional associations: DDG, DGA, DGG, GDL, DGL, BVP.使用医用弹力袜(MCS)、静脉病压迫绷带(PCB)和医用自适应压迫系统(MAC)对四肢进行医学压迫治疗:德国静脉病学会(DGP)与以下专业协会合作制定的S2k指南:DDG、DGA、DGG、GDL、DGL、BVP。
Hautarzt. 2021 Dec;72(Suppl 2):37-50. doi: 10.1007/s00105-020-04706-z. Epub 2021 Jan 1.
2
Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.医用加压弹力袜在静脉和淋巴疾病中的应用指征:一项基于证据的共识声明。
Phlebology. 2018 Apr;33(3):163-184. doi: 10.1177/0268355516689631. Epub 2017 Feb 22.
3
Primary great saphenous varicose veins revisited.原发性大隐静脉曲张再探讨。
World J Surg. 1986 Dec;10(6):954-8. doi: 10.1007/BF01658646.
4
Varicose veins: optimum compression after surgery and sclerotherapy.静脉曲张:手术和硬化治疗后的最佳压迫治疗
Ann R Coll Surg Engl. 1989 Nov;71(6):402-4.
5
Venous disease: investigation and treatment, fact or fiction?静脉疾病:调查与治疗,事实还是虚构?
Ann R Coll Surg Engl. 1990 May;72(3):188-92.

本文引用的文献

1
Continuous uninterrupted compression technique of injecting varicose veins.注射静脉曲张的连续不间断压迫技术。
Proc R Soc Med. 1960 Oct;53(10):837-40. doi: 10.1177/003591576005301004.
2
Randomised trial of bandaging after sclerotherapy for varicose veins.硬化疗法治疗静脉曲张后绷带包扎的随机试验
Br Med J. 1980 Aug 9;281(6237):423. doi: 10.1136/bmj.281.6237.423.
3
A physiological study of elastic compression stockings in venous disorders of the leg.弹性压迫袜治疗下肢静脉疾病的生理学研究
Br J Surg. 1980 Aug;67(8):569-72. doi: 10.1002/bjs.1800670814.
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A random controlled trial of two forms of compression bandaging in outpatient sclerotherapy of varicose veins.两种形式的加压包扎用于门诊静脉曲张硬化治疗的随机对照试验。
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The treatment of varicose veins by compression sclerotherapy.压迫硬化疗法治疗静脉曲张。
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Surgery and sclerotherapy in the treatment of varicose veins. A random trial.手术和硬化疗法治疗静脉曲张。一项随机试验。
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The effect of elastic stockings on superficial venous pressures in patients with venous insufficiency.
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9
Control of distension of varicose veins achieved by leg bandages, as used after injection sclerotherapy.通过腿部绷带控制静脉曲张扩张,注射硬化剂治疗后使用。
Br Med J. 1976 Sep 25;2(6038):725-7. doi: 10.1136/bmj.2.6038.725.