管理和了解静脉曲张的创新方法和未来方向:系统回顾

Aaqib Javaid, Abutwaibe KA, Sherilraj PM, Kanika Arora, Shyam Lal Mudavath
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摘要

静脉曲张是一种主要影响下肢的常见疾病,由于其病因多种多样,给诊断和治疗带来了巨大障碍。本研究深入探讨了影响静脉曲张成因的复杂荷尔蒙、环境和分子因素,强调了精确诊断方法和改变治疗方法以改善患者预后的必要性。研究调查了静脉曲张的流行病学和人口分布情况,深入探讨了静脉曲张的病理生理学,并对双相超声波检查和 CEAP 分类系统等诊断方法进行了评估。此外,该研究还讨论了硬化疗法和静脉腔内热消融术等新型疗法,以及现有诊断方法在检测慢性静脉疾病方面的有效性。通过对静脉壁重塑和炎症途径的研究,该研究对静脉曲张的形成有了全面的了解。该研究呼吁未来的研究应侧重于以患者为中心的方法、生物工程的进步、数字健康应用以及基因和分子研究,以提高血管治疗的准确性和有效性。因此,我们借鉴血管医学、流行病学、遗传学和药理学的见解,进行了一次多学科文献分析,以整合现有知识,找出提高静脉曲张诊断、治疗和患者护理效果的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Innovative Approaches and Future Directions in the Management and Understanding of Varicose Veins: A Systematic Review
Varicose veins, a prevalent condition that primarily affects the lower limbs, present significant hurdles in diagnosis and treatment due to their diverse causes. This study dives into the complex hormonal, environmental, and molecular elements that influence varicose vein genesis, emphasizing the need for precise diagnostic methods and changing therapy approaches to improve patient outcomes. It investigates the epidemiology and demographic distribution of varicose veins, delves into their pathophysiology, and assesses diagnostic methods such as duplex ultrasonography and the CEAP classification system. In addition, the study discusses novel therapies such as sclerotherapy and endovenous thermal ablation, as well as the effectiveness of existing diagnostic methods in detecting chronic venous illnesses. By investigating venous wall remodeling and inflammatory pathways, it gives a thorough knowledge of varicose vein formation. The study calls for future research that focuses on patient-centered methods, bioengineering advances, digital health applications, and genetic and molecular studies to improve the accuracy and effectiveness of vascular therapy. As a result, a multidisciplinary literature analysis was done, drawing on insights from vascular medicine, epidemiology, genetics, and pharmacology, to consolidate existing knowledge and identify possibilities to enhance varicose vein diagnosis, treatment, and patient care outcomes.
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