下肢静脉反流性疾病治疗方案合理选择  

Reasonable selection of therapy for venous reflux disease in lower extremity

作　　者：刘洪[1] 赵渝[1] 

机构地区：[1]重庆医科大学附属第一医院血管外科,重庆400016

出　　处：《中国实用外科杂志》2015年第12期1282-1285,共4页Chinese Journal of Practical Surgery

基　　金：重庆市医学科研计划项目(No.20140001)

摘　　要：下肢静脉反流性疾病是常见的血管外科静脉疾病,其治疗方法众多,涵盖了从保守疗法到手术等诸多手段。目前治疗尚有争议,缺乏统一的治疗方案,存在对疾病认识不足、治疗方案不规范、疗效不稳定等问题。虽然存在争议,但总体治疗原则没有发生改变,下肢静脉反流性疾病的治疗在于纠正静脉反流,减轻静脉高压,降低CEAP分级,延缓疾病进展。根据反流部位及CEAP分级选择合理治疗方案,将药物及加压治疗与手术治疗相结合,并进行方案优化,实现针对病人个体的综合化治疗。Venous reflux disease in lower extremity is a common vascular disease, and its treatment is numerous, ranging from conservative therapy to surgery. Current treatment remains controversial, lacking of unified treatment options.There are problems such as insufficient awareness of the disease, unstandard treatment options and unstable efficacy and so on. Although there is a dispute, the general treatment principle has not changed. The treatment is to correct the venous reflux, reduce venous hypertension, lower CEAP grade and delay the progression of the disease. Based on the reflux location and CEAP classification, choosingappropriate treatment, combining drug, compression therapy and surgical treatment should be used to achieve the comprehensive treatment for the individualization.

关 键 词：下肢静脉反流 CEAP分级 

分 类 号：R6[医药卫生—外科学]