静脉腔内激光治疗下肢静脉曲张患者的长期临床和成像结果:长达 12 年的随访研究。

IF 2.5 Q2 PERIPHERAL VASCULAR DISEASE International Journal of Vascular Medicine Pub Date : 2024-02-06 eCollection Date: 2024-01-01 DOI:10.1155/2024/6829868
Hossein Ghanaati, Amir Hossein Jalali, Madjid Shakiba, Diana Zarei, Nafiseh Ghavami, Kavous Firouznia
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引用次数: 0

摘要

简介:慢性静脉功能不全(CVI)是由静脉循环系统中的瓣膜功能失调引起的一种常见疾病,本研究调查了静脉腔内激光治疗(EVLT)的长期有效性和安全性:在这项回顾性队列研究中,患者接受了 EVLT 治疗,并在术后接受了连续的短期随访和最后一次随访,中位随访时间为术后 9 年。术前和术后双工超声用于评估大隐静脉(GSV)直径、回流和隐股交界处闭锁的变化。使用 SF-36 和阿伯丁静脉曲张问卷(AVVQ)评估生活质量:研究共纳入 68 名患者,平均年龄为(52.4 ± 12.4)岁。平均随访时间为 8.9 ± 2.1 年,从 5 年到 12 年不等。所有患者(全组)的近段(从 5.8 ± 2.3 mm 到 4.2 ± 2.1 mm)、中段(从 4.7 ± 1.6 mm 到 2.8 ± 2.2 mm)和远段(从 4.5 ± 2.3 mm 到 2.2 ± 2.2 mm)的平均 GSV 直径均明显缩小,P < 0.001。疾病复发率为 33.8%,主要发生在男性患者和 GSV 中段直径较大的患者中(OR = 5.2 (95%CI = 1.3-20.4) 和 OR = 1.5 (95%CI = 1-2.1))。未复发患者的平均随访时间为 8.8 ± 2.1 年。近一半未复发的患者接受了 10 年或更长时间的随访(49%):结论:EVLT治疗静脉曲张的疗效体现在其10年随访期间相对较低的复发率上,突出表明EVLT是一种可行的长期治疗策略。
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Long-Term Clinical and Imaging Findings in Patients with Lower Extremity Varicose Veins Treated with Endovenous Laser Treatment: A Follow-Up Study of up to 12 Years.

Introduction: This study investigates the long-term effectiveness and safety of endovenous laser treatment (EVLT) for chronic venous insufficiency (CVI), a condition commonly caused by dysfunctional valves in the venous circulation system.

Materials and methods: In this retrospective cohort study, patients underwent EVLT and were followed up for successive short intervals and one last time after a median duration of 9-year postprocedural. Pre- and postprocedure duplex ultrasound was used to assess changes in the great saphenous vein (GSV) diameter, reflux, and saphenofemoral junction incompetence. Quality of life was evaluated using the SF-36 and Aberdeen Varicose Vein Questionnaire (AVVQ).

Results: Sixty-eight patients with a mean age of 52.4 ± 12.4 years were enrolled in the study. The mean follow-up time was 8.9 ± 2.1 years, ranging from 5 to 12 years. The mean GSV diameter significantly decreased in all patients (whole group) across proximal (from 5.8 ± 2.3 mm to 4.2 ± 2.1 mm), middle (from 4.7 ± 1.6 mm to 2.8 ± 2.2 mm), and distal (from 4.5 ± 2.3 mm to 2.2 ± 2.2 mm) segments, with P < 0.001. A disease recurrence rate of 33.8% was noted, predominantly in male patients and those with larger middle GSV diameters (OR = 5.2 (95%CI = 1.3-20.4) and OR = 1.5 (95%CI = 1-2.1), respectively). The average follow-up time for patients without recurrence was 8.8 ± 2.1 years. Almost half of the patients without recurrence were followed up for 10 years or more (49%).

Conclusion: The efficacy of EVLT in managing varicose veins is demonstrated by its relatively low recurrence rate over a 10-year follow-up period, highlighting EVLT as a viable long-term treatment strategy.

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来源期刊
International Journal of Vascular Medicine
International Journal of Vascular Medicine PERIPHERAL VASCULAR DISEASE-
CiteScore
3.50
自引率
0.00%
发文量
7
审稿时长
16 weeks
期刊最新文献
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