Ito Takaaki, Kukino Ryuichi, Sarayama Yasuko, Tanioka Miki, Maekawa Takeo, Yatsushiro Hiroshi, Asai Jun, Asano Yoshihide, Abe Masatoshi, Amano Masahiro, Ikegami Ryuta, Ishii Takayuki, Isei Taiki, Isogai Zenzo, Inoue Yuji, Irisawa Ryokichi, Iwata Yohei, Otsuka Masaki, Omoto Yoichi, Kato Hiroshi, Tanizaki Hideaki, Kadono Takafumi, Kaneko Sakae, Kanoh Hiroyuki, Kawakami Tamihiro, Kawaguchi Masakazu, Kono Takeshi, Koga Monji, Kodera Masanari, Sakai Keisuke, Sakurai Eiichi, Shintani Yoichi, Tsujita Jun, Doi Naotaka, Nakanishi Takeshi, Hashimoto Akira, Hasegawa Minoru, Hayashi Masahiro, Hirosaki Kuninori, Fujita Hideki, Fujimoto Manabu, Fujiwara Hiroshi, Matsuo Koma, Madokoro Naoki, Motegi Sei-Ichiro, Yamasaki Osamu, Yoshino Yuichiro, Le Pavoux Andres, Tachibana Takao, Ihn Hironobu
J Dermatol. 2025 Feb;52(2):e49-e69. doi: 10.1111/1346-8138.17503. Epub 2024 Dec 26.
"Wound, Pressure Ulcer, and Burn Guidelines-5: Guidelines for the management of lower leg ulcers and varicose veins, second edition" is revised from the first edition, which was published in the Japanese Journal of Dermatology in 2011. The guidelines were drafted by the Wound, Pressure Ulcer, and Burn Guidelines Drafting Committee delegated by the Japanese Dermatological Association and intend to facilitate physicians' clinical decisions in preventing, diagnosing and management of lower leg ulcers and varicose veins. We updated all sections by collecting documents published since the publication of the first edition. In particular, we added clinical question 8 (CQ8), which addresses endovenous laser ablation for varicose veins, a procedure that became covered by the Japanese national health insurance after the writing of the first edition, and endovenous radiofrequency ablation, which became covered by national health insurance in 2014. We also rearranged the subsequent clinical question (CQs) for easier reading. While the addition of these new techniques has increased the number of options available within the treatment algorithm, differences have arisen in the indication for surgery depending on the facility performing the treatment. Therefore, these have been abbreviated.
《伤口、压疮与烧伤指南-5：小腿溃疡与静脉曲张管理指南》第二版是对2011年发表于《日本皮肤病学杂志》的第一版进行的修订。该指南由日本皮肤病协会委托的伤口、压疮与烧伤指南起草委员会起草，旨在促进医生在小腿溃疡和静脉曲张的预防、诊断及管理方面的临床决策。我们通过收集自第一版出版以来发表的文献对所有章节进行了更新。特别是，我们增加了临床问题8（CQ8），其涉及静脉曲张的静脉内激光消融术（该手术在第一版编写后被纳入日本国民健康保险范围）以及静脉内射频消融术（该手术于2014年被纳入国民健康保险范围）。我们还重新编排了后续的临床问题（CQs）以便于阅读。虽然这些新技术的增加使得治疗算法中的可用选项增多，但根据进行治疗的机构不同，手术适应症出现了差异。因此，对这些内容进行了简化。
