Maekawa Takeo, Ito Takaaki, Idezuki Takeo, Ota Mayumi, Sakai Hiroshi, Sarayama Yasuko, Tanaka Takamitsu, Niihara Hiroyuki, Fusumae Takayuki, Makino Koji, Yatsushiro Hiroshi, Kondo Akiyo, Asano Yoshihide, Nakanishi Takeshi, Motegi Sei-Ichiro, Yoshino Yuichiro, Fujiwara Hiroshi, Hasegawa Minoru, Fujimoto Manabu, Tachibana Takao
Jichi Medical University Saitama Medical Center, Saitama, Japan.
Hyogo Medical University, Nishinomiya, Japan.
J Dermatol. 2025 Jun;52(6):e481-e528. doi: 10.1111/1346-8138.17746. Epub 2025 Apr 30.
Guidelines for the management of lower leg ulcers/varicose veins, third edition is a fully revised guideline drafted by the Japanese Dermatological Association Wound/Pressure Ulcer/Burn Guidelines Drafting Committee. They were developed in a systematic and transparent manner with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. In the four clinical questions with meta-analyses, ultrasonography, compression therapy, surgical therapy, and sclerotherapy were weakly recommended in the treatment of lower leg ulcers/varicose veins. General information on diagnosis, prevention, assessment, and unconventional treatment of lower leg ulcers/varicose veins was also provided.
《小腿溃疡/静脉曲张管理指南》第三版是由日本皮肤病协会伤口/压疮/烧伤指南起草委员会起草的全面修订版指南。这些指南采用推荐分级评估、制定和评价（GRADE）方法，以系统、透明的方式制定。在四项进行了荟萃分析的临床问题中，超声检查、压迫疗法、手术疗法和硬化疗法在小腿溃疡/静脉曲张的治疗中得到了弱推荐。还提供了关于小腿溃疡/静脉曲张的诊断、预防、评估和非常规治疗的一般信息。
