Priollet P
Service de Médecine Vasculaire et d'Hypertension Artérielle, Hôpital Saint-Joseph, Paris.
Presse Med. 1994 Feb 10;23(5):259-63.
The choice among the therapeutic options available for chronic venous insufficiency of the lower limbs is based on a precise analysis of the disease itself and the exact nature of the patient's complaints and expectations. Comprehensive care requires a careful clinical examination and complementary exploration with ultrasonography when required for decision making and knowledge of the personal, social and professional situation as well as a documented evaluation of the treatment methods, their theoretical or real value and their assumed mechanism of action, their long-term effects when known and their limitations. Elastic support, if prescribed correctly is useful whatever the degree of clinical expression: simple functional manifestations, varicose veins or impaired trophism. Vasculoprotective or venotonic drugs have various actions. They can be used for the treatment of all degrees of symptomatic chronic insufficiency. More radical treatment of varicose veins, whether surgical or by sclerosis, depend on the anatomic presentation, the degree of venous stasis and the importance of the symptomatology but also on the desires of a patient well informed of the advantages and limitations of each technique. Comprehensive care for chronic venous insufficiency requires personalized care.
下肢慢性静脉功能不全的治疗方案选择基于对疾病本身的精确分析以及患者症状和期望的确切性质。全面护理需要仔细的临床检查，并在决策需要时辅以超声检查，了解患者的个人、社会和职业状况，以及对治疗方法、其理论或实际价值、假定的作用机制、已知的长期效果及其局限性进行记录评估。如果正确使用，弹性支撑无论临床症状表现程度如何都很有用：简单的功能表现、静脉曲张或营养障碍。血管保护或静脉张力调节药物有多种作用。它们可用于治疗所有程度的有症状慢性静脉功能不全。静脉曲张的更彻底治疗，无论是手术治疗还是硬化治疗，取决于解剖表现、静脉淤滞程度和症状的严重程度，也取决于充分了解每种技术优缺点的患者的意愿。慢性静脉功能不全的全面护理需要个性化护理。
