摘要
慢性静脉功能不全(CVI)是临床的常见疾病,压力治疗是CVI治疗的基石。压力治疗可作为保守治疗手段,减轻患者下肢沉重感和水肿的症状,预防静脉溃疡。压力治疗也可作为静脉曲张术后的辅助治疗手段,减轻术后疼痛、水肿、色素沉着,促进伤口愈合,改善患者的生活质量。目前,静脉曲张术后压力治疗仍是一个有争议的话题,其运用主要依托临床经验,各种临床试验的结论也存在差异,且无统一的指南指导临床实践。本文通过分析和研究近年来CVI开放手术、硬化剂注射、腔内消融术后压力治疗的相关文献,结合各国压力治疗指南和专家共识,对压力治疗在静脉曲张手术后的应用进展进行综述,以期为未来CVI术后压力治疗的运用提供证据。
Chronic venous insufficiency(CVI)is a usual disease which compressing therapy is the cornerstone of treatment.Compressing therapy can be used as a conservative treatment to reduce heaviness,edema and ulceration.Compressing therapy can also be applied as an auxiliary treatment postoperatively to relieve pain,edema,pigmentation,promote wound healing,and improve quality of life.However,at present,the compressing therapy of varicose veins after surgery is still a controversial topic.The application mainly depends on clinical experience without a unified guideline,and there are differences in the conclusions of various clinical trials.This article reviews the application of post-operative compressing therapy by analyzing and studying relevant literature of pressure therapy after CVI open surgery,sclerotherapy injection,and intracavitary ablation,combined with the compressing therapy guidelines and consensus of various countries,in order to provide evidence for the application of compressing therapy postoperatively in the future.
作者
文家豪
李春民
Wen Jiahao;Li Chunmin(Department of Vascular Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
出处
《血管与腔内血管外科杂志》
2025年第7期918-922,共5页
Journal of Vascular and Endovascular Surgery
关键词
慢性静脉功能不全
静脉曲张
开放手术
硬化剂注射
腔内治疗
压力治疗
chronic venous insufficiency
varicose vein
open surgery
sclerotherapy injectio
endovenous therapy
compressing therapy
