Effect of different compression therapies on the reflux in deep veins with a post-thrombotic syndrome

被引:22
作者
Evers, EJ [1 ]
Wuppermann, T [1 ]
机构
[1] Klinikum Darmstadt, Klin Angiol, D-64276 Darmstadt, Germany
来源
VASA-JOURNAL OF VASCULAR DISEASES | 1999年 / 28卷 / 01期
关键词
post-thrombotic syndrome; colour-coded duplex sonography; compression therapy; bandage; compression stocking;
D O I
10.1024/0301-1526.28.1.19
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background: Reflux in deep veins is an important pathophysiological factor of post-thrombotic syndrome which can be demonstrated by colour-coded duplexsonography. This study investigates the effect of different compression therapies on the reflux velocity in deep veins in patients with a post-thrombotic syndrome. Patients and methods: Sixty patients with a post thrombotic syndrome - confirmed by phlebography, in the deep veins of the calf and the thigh were investigated in two groups: In group A, 30 patients (mean age 58 +/- 10 years) received compression stockings (calf compression class II and III, thigh compression class II) and in group B 30 patients (mean age 58 +/- 14 years) received a Sigg short traction bandage of the calf: The velocity at the time of the greatest reflux in the popliteal vein was determined as reflux parameter with the colour-coded duplex sonography using a cuff applied at the calf. All patients stood upright and were measured with and without different kinds of compression therapies. The reflux velocities were graded as low; moderate and high. Results: A significant decrease of the reflux velocity by about more than 45% with compression therapy was found in both groups. The decrease of the refluxes in group A (mean 47.9%) did not differ significantly from the decrease of reflux-es in group B (mean 55.8%). The greatest decrease of the reflux velocity under compression therapy was found in high-grade refluxes in both groups. Conclusion: A significant decrease of the reflux velocity ill post-thrombotic syndrome can be readily demonstrated with different kinds of compression stockings as well as with bandages by means of colour-coded duplex sonography.
引用
收藏
页码:19 / 23
页数:5
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