慢性下肢静脉疾病的诊断和治疗

Diagnosis and management of chronic venous disorders of the lower limbs

慢性下肢静脉疾病(CVD)是一种常见且易被忽视疾病,好发于女性,高龄,肥胖,妊娠,有静脉疾病家族史的患者。CVD的诊断主要依据患者的临床表现、体征和辅助检查。诊断后需对其严重程度进行CEAP分级,根据分级制定的个体化治疗是安全有效的,康复治疗是基础,改善静脉功能的药物疗效明显,手术治疗近期效果较好,远期效果还有待进一步验证。

Chronic venous disease is one of the most common diseases and easy to be neglected,the risk factors include female gender,older age,obesity,pregnancy and family history of venous diseases.The accurate diagnosis of CVD depends on the patient’s clinical manifestations,physical signs and examinations.According to the CEAP classification,the individual treatment is safe and has better clinical effect.Rehabilitation therapy is essential.The symptoms are significantly relieved after venoactive drug treatment.The short-term effects are satisfactory in the treatment of surgery,but long-term Results need to be verified.