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静脉曲张管理与理解的创新方法及未来方向:一项系统综述

Innovative Approaches and Future Directions in the Management and Understanding of Varicose Veins: A Systematic Review.

作者信息

Javaid Aaqib, Ka Abutwaibe, Pm Sherilraj, Arora Kanika, Mudavath Shyam Lal

机构信息

Infectious Disease Biology Laboratory, Chemical Biology Unit, Institute of Nano Science and Technology, Knowledge City, Sector-81, Mohali, Punjab 140306, India.

Department of Animal Biology, School of Life Sciences, University of Hyderabad, Prof. C.R. Rao Road, Gachibowli Hyderabad, Telangana 500046, India.

出版信息

ACS Pharmacol Transl Sci. 2024 Sep 9;7(10):2971-2986. doi: 10.1021/acsptsci.4c00430. eCollection 2024 Oct 11.

Abstract

Varicose veins, a prevalent condition that primarily affects the lower limbs, present significant hurdles in diagnosis and treatment due to their diverse causes. This study dives into the complex hormonal, environmental, and molecular elements that influence varicose vein genesis, emphasizing the need for precise diagnostic methods and changing therapy approaches to improve patient outcomes. It investigates the epidemiology and demographic distribution of varicose veins, delves into their pathophysiology, and assesses diagnostic methods such as duplex ultrasonography and the CEAP classification system. In addition, the study discusses novel therapies such as sclerotherapy and endovenous thermal ablation, as well as the effectiveness of existing diagnostic methods in detecting chronic venous illnesses. By investigating venous wall remodeling and inflammatory pathways, it gives a thorough knowledge of varicose vein formation. The study calls for future research that focuses on patient-centered methods, bioengineering advances, digital health applications, and genetic and molecular studies to improve the accuracy and effectiveness of vascular therapy. As a result, a multidisciplinary literature analysis was done, drawing on insights from vascular medicine, epidemiology, genetics, and pharmacology, to consolidate existing knowledge and identify possibilities to enhance varicose vein diagnosis, treatment, and patient care outcomes.

摘要

静脉曲张是一种主要影响下肢的常见病症,由于其病因多样,在诊断和治疗方面存在重大障碍。本研究深入探讨了影响静脉曲张发生的复杂激素、环境和分子因素,强调需要精确的诊断方法和不断变化的治疗方法以改善患者预后。它调查了静脉曲张的流行病学和人口分布,深入研究其病理生理学,并评估了诸如双功超声检查和CEAP分类系统等诊断方法。此外,该研究还讨论了诸如硬化疗法和静脉内热消融等新疗法,以及现有诊断方法在检测慢性静脉疾病方面的有效性。通过研究静脉壁重塑和炎症途径,它全面了解了静脉曲张的形成。该研究呼吁未来的研究专注于以患者为中心的方法、生物工程进展、数字健康应用以及基因和分子研究,以提高血管治疗的准确性和有效性。因此,进行了一项多学科文献分析,借鉴血管医学、流行病学、遗传学和药理学的见解,以巩固现有知识并确定提高静脉曲张诊断、治疗和患者护理结果的可能性。

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本文引用的文献

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