دورية أكاديمية
Comparison of two ablation procedures combined with high ligation and foam sclerotherapy and compression therapy for patients with venous leg ulcers.
العنوان: | Comparison of two ablation procedures combined with high ligation and foam sclerotherapy and compression therapy for patients with venous leg ulcers. |
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المؤلفون: | Zheng G; Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China., Xie H; Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China., Lai M; Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China., Qin B; Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China., Liu X; Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China. |
المصدر: | Postgraduate medicine [Postgrad Med] 2024 Jun; Vol. 136 (5), pp. 514-522. Date of Electronic Publication: 2024 Jun 13. |
نوع المنشور: | Journal Article; Comparative Study |
اللغة: | English |
بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 0401147 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-9260 (Electronic) Linking ISSN: 00325481 NLM ISO Abbreviation: Postgrad Med Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2015- : London : Informa Healthcare Original Publication: New York : Vendome Group, -2006 |
مواضيع طبية MeSH: | Sclerotherapy*/methods , Varicose Ulcer*/therapy , Varicose Ulcer*/surgery, Humans ; Female ; Male ; Middle Aged ; Retrospective Studies ; Ligation/methods ; Aged ; Laser Therapy/methods ; Wound Healing ; Treatment Outcome ; Combined Modality Therapy ; Ablation Techniques/methods ; Microwaves/therapeutic use ; Compression Bandages |
مستخلص: | Aim: To compare the ablation techniques' efficacy of endovenous microwave ablation (EMA) combined with high ligation (HL), foam sclerotherapy (FS) and compression therapy (CT) and endovenous laser ablation (EVLA) combined with HL-FS-CT in the treatment of VLUs. Method: 301 consecutive patients with VLUs from 2013 to 2022 in a 3200-bed hospital were intervened by EMA combined with HL-FS-CT and EVLA combined with HL-FS-CT were retrospectively compared. Results: One hundred thirty-four patients underwent EMA+HL-FS-CT and 167 patients underwent EVLA+HL-FS-CT. The primary outcome of the ulcer healing time was 1.45(0.75-1.5) months and 1.86(0.5-2.5) months, respectively, in the two groups (HR for ulcer healing was 1.26, 95% CI [0.96-1.66], p = 0.097). Secondary outcomes included that no significant difference was found in ulcer recurrence and GSV recanalization and complications between the two groups, and the postoperative VCSS and AVVQ were significantly lower than the baseline values in the respective groups ( p = 0.0001). Conclusion: EMA+HL-FS-CT and EVLA+HL-FS-CT are both effective at treating VLUs. Both of the two comprehensive treatments were beneficial to the healing of ulcers, but no evidence showed which one was superior in the ulcer healing time. |
فهرسة مساهمة: | Keywords: Varicose veins; ablation techniques; compression therapy; foam sclerotherapy; high ligation; venous leg ulcers |
تواريخ الأحداث: | Date Created: 20240611 Date Completed: 20240814 Latest Revision: 20240814 |
رمز التحديث: | 20240814 |
DOI: | 10.1080/00325481.2024.2366155 |
PMID: | 38861319 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1941-9260 |
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DOI: | 10.1080/00325481.2024.2366155 |