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Surgical management of varicose veins: meta-analysis.

机译:静脉曲张的外科治疗:荟萃分析。

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摘要

Open surgery remains the gold standard by which endovascular treatment of superficial chronic venous insufficiency is measured. This meta-analysis of randomized controlled trials reviews the current evidence base, comparing open and endovascular treatment of varicose veins. Systematic review of studies reporting duplex scan follow-up after open surgical, laser (endovenous laser therapy [EVLT]), or radiofrequency (VNUS Closure device, VNUS Medical Technologies, San Jose, CA) treatment of refluxing great saphenous veins was completed. Primary outcome measures were occlusion and complication rates and time taken to resume work. No significant difference in recurrence rates at 3 months between open surgery and EVLT (RR 2.19, 95% CI 0.99-4.85, p = .05) or VNUS device (RR 7.57; 95% CI 0.42-136.02) were found. Return to work is significantly faster following VNUS (by 8.24 days; 95% CI 10.50-5.97) or EVLT (by 5.02 days; 95% CI 6.52-3.52). Endovascular treatment of varicose veins is safe and effective and offers the significant advantage of rapid recovery.
机译:开放手术仍然是衡量浅表慢性静脉功能不全的血管内治疗的金标准。这项随机对照试验的荟萃分析回顾了当前的证据基础,比较了静脉曲张的开放和血管内治疗。报告开放手术,激光(腔内激光治疗[EVLT])或射频(VNUS Closure设备,VNUS Medical Technologies,圣何塞,加利福尼亚州)对大隐静脉回流的治疗后,完成了双重扫描随访研究的系统评价。主要结局指标为阻塞,并发症发生率以及恢复工作所需的时间。开放手术和EVLT(RR 2.19,95%CI 0.99-4.85,p = .05)或VNUS装置(RR 7.57; 95%CI 0.42-136.02)之间的3个月复发率无显着差异。 VNUS(8.24天; 95%CI 10.50-5.97)或EVLT(5.02天; 95%CI 6.52-3.52)之后,恢复工作的速度明显加快。静脉曲张的血管内治疗是安全有效的,并具有快速恢复的显着优势。

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