作者
P 1 Zamboni, C Cisno, F Marchetti, P Mazza, L Fogato, S Carandina, M De Palma, A Liboni
发表日期
2003/4/1
来源
European journal of vascular and endovascular surgery
卷号
25
期号
4
页码范围
313-318
出版商
WB Saunders
简介
Objectives
to compare minimally invasive surgical haemodynamic correction of reflux (CHIVA) with compression in the treatment of venous ulceration.
Design
prospective randomised study.
Materials and Methods
from a cohort of 80 patients with 87 venous leg ulcers, 47 were randomised to either surgery or compression.
Results
at a mean follow-up of 3 years, healing was 100% (31 days) in the surgical and 96% (63 days), in the compression group (p<0.02). The recurrence rate was 9% in the surgical and 38% in the compression group (p<0.05). In the surgical group, all plethysmographic parameters except ejection fraction, had improved significantly at 6 months in the surgical group, and at 3 years residual volume fraction remained in the normal range. Finally, quality of life significantly improved in the operated group.
Conclusions
this study supports the effectiveness of surgical therapy for leg ulceration …
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P Zamboni, C Cisno, F Marchetti, P Mazza, L Fogato… - European Journal of Vascular and Endovascular …, 2003