Minimally invasive surgical management of primary venous ulcers vs. compression treatment: a randomized clinical trial

被引：85

作者：

Zamboni, P ^{[1
]}

Cisno, C ^{[1
]}

Marchetti, F ^{[1
]}

Mazza, P ^{[1
]}

Fogato, L ^{[1
]}

Carandina, S ^{[1
]}

De Palma, M ^{[1
]}

Libon, A ^{[1
]}

机构：

[1] Univ Ferrara, Day Surg Unit, Dept Surg Anaestesiol & Radiol Sci, I-44100 Ferrara, Italy

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2003年 / 25卷 / 04期

关键词：

primary venous ulcers; minimally invasive surgery; venous haemodynamics; CHIVA; compression; quality of life;

D O I：

10.1053/ejvs.2002.1871

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objectives: to compare minimally invasive surgical haemodynamic correction of reflux (CHIVA) with compression in the treatment of venous ulceration. Design: prospective randomised study. Materials and Methods: from a cohort of 80 patients with 87 venous leg ulcers, 47 were randomised to either surgery or compression. Results: at a mean follow-up of 3 years, healing was 100% (31 days) in the surgical and 96% (63 days), in the compression group (p < 0.02). The recurrence rate was 9% in the surgical and 38% in the compression group (p < 0.05). In the surgical group, all plethysmographic parameters except ejection fraction, had improved significantly at 6 months in the surgical group, and at 3 years residual volume fraction remained in the normal range. Finally, quality of life significantly improved in the operated group. Conclusions: this study supports the effectiveness of surgical therapy for leg ulceration. secondary to superficial venous reflux.

引用

页码：313 / 318

页数：6

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