O'Leary D P, Chester J F, Jones S M
Department of Surgery, Taunton and Somerset Hospital.
Ann R Coll Surg Engl. 1996 May;78(3 ( Pt 1)):214-6.
Of 229 newly referred patients with varicose veins, untoward symptoms were the most frequent reason for presentation (38%). Cosmetic concerns were significantly more common in women than in men (33% vs 8%, P < 0.001). Sclerotherapy was offered to 20 patients (8.7%). Surgical operation was offered in 113 (49.3%), mostly for symptoms. No invasive treatment was indicated in 96 patients (42%), more than half of whom had presented because of inappropriate fears of deterioration or with symptoms unrelated to their veins. We advocate that careful evaluation of the reasons for presentation should be used as a guide to the efficient management of varicose veins.
在229例新转诊的静脉曲张患者中，不良症状是就诊的最常见原因（38%）。女性因美观问题就诊的比例显著高于男性（33%对8%，P<0.001）。20例患者（8.7%）接受了硬化剂治疗。113例患者（49.3%）接受了手术治疗，主要是因为症状。96例患者（42%）未接受侵入性治疗，其中一半以上是因为对病情恶化存在不当恐惧或出现与静脉无关的症状而就诊。我们主张，应仔细评估就诊原因，以此作为有效管理静脉曲张的指导。
