Does the Treatment of Pelvic Venous Insufficiency Really Not Influence Lower Limb Venous Disease?

被引：4

作者：

Szary, Cezary ^{[1
]}

Wilczko, Justyna ^{[1
]}

Bodziony, Anna ^{[1
]}

Celejewski, Krzysztof ^{[1
,2
]}

Swieczkowski-Feiz, Siavash ^{[1
]}

Napierala, Marcin ^{[1
]}

Plucinska, Dominika ^{[1
]}

Zawadzki, Michal ^{[1
,3
]}

Leszczynski, Jerzy ^{[1
,2
]}

Grzela, Tomasz ^{[1
,2
]}

机构：

[1] Clin Phlebol, PL-02034 Warsaw, Poland

[2] Med Univ Warsaw, PL-02097 Warsaw, Poland

[3] Ctr Postgrad Med Educ, PL-01828 Warsaw, Poland

来源：

DIAGNOSTICS | 2023年 / 13卷 / 15期

关键词：

descending treatment; embolization; lower limb veins insufficiency; pelvic venous insufficiency; venous compartments; venous disease; CONGESTION SYNDROME; EMBOLIZATION; CLASSIFICATION; DIAGNOSIS; VARICES; PAIN; VEIN;

D O I：

10.3390/diagnostics13152467

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pelvic venous insufficiency is a common problem in multiparous women. Besides burdensome symptoms, it correlates with the development of venous disease in the lower limbs. Therefore, the sequential treatment of abdominal/pelvic before leg veins could improve treatment effectiveness. The medical records of 243 patients with venous disease who were subjected to sequential treatment were analyzed retrospectively. The symptoms and patient satisfaction were assessed using dedicated questionnaires, both before and after treatment. Clinical effectiveness was verified using a Doppler scan, both before and after treatment. Among 243 analyzed cases, 195 underwent whole treatment; however, 48 women after embolization did not require further intervention. The total-symptom-score change (11.6 vs. 13.0, respectively) and the satisfaction score (1.6 vs. 1.5, respectively) did not differ between groups. After embolization, some patients, besides symptoms improvement, experienced reflux reduction and, hence, might avoid further intervention. A better explanation for this beneficial effect of the sequential/descending approach requires further studies.

引用

页数：9

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