Assessment of Combined Management for Lower Limb Chronic Venous Insufficiency According to CEAP Classification_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Lin , QI Guangyu , LI Yanzi , LU Shaoying

Department of General Surgery, The First Affiliated Hospital, Medical College of Xi’an Jiaotong University, Xi’an 710061, China;

Corresponding author：

Keywords：

Lower limb; Chronic venous diseases; CEAP classification; Combined therapy

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Objective 　To assess the combined management of lower limb chronic venous diseases according to the CEAP classification.
Methods 　One hundred and twenty patients were classified according to the CEAP classification. Based on clinical presentation and image study, all patients were treated with combined management plan including oppression, medication and surgery.
Results 　All 120 patients (135 limbs) were followed up in clinic, the local recurrence rate was 18.52%(25/135).
Conclusion 　CEAP classification expounds the developing process of lower limb chronic venous diseases. With CEAP, we can avoid the blind spot in the treatment and expand the extent of combined therapy. Accordingly, CEAP classification is useful in the treatment and diagnosis of chronic venous diseases.

Citation： YANG Lin,QI Guangyu,LI Yanzi,LU Shaoying. Assessment of Combined Management for Lower Limb Chronic Venous Insufficiency According to CEAP Classification. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(6): 697-699. doi: Copy

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11.	龙厚勇，刘君，郑启昌. 股浅静脉瓣膜环形缩窄术治疗原发性下肢深静脉瓣膜功能不全的疗效分析 [J]. 中国普外基础与临床杂志, 2007； 14(3)∶335.
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13.	张柏根. 慢性下肢静脉功能不全的诊治进展 [J]. 中华普通外科杂志， 2003； 18(9)∶517.
14.	王深明. 下肢深静脉瓣膜功能不全的外科治疗 [J]. 中国普外基础与临床杂志, 2006； 13（6）∶629.
15.	Wang SM. The CECA classification: a descriptive or follow-up fool? [J]. Medicographia Venous Disorders and Evidence-Based Medicine, 2004; 26(2)∶165.
16.	张柏根. 下肢慢性静脉功能不全与CEAP分类系统 [J]. 外科理论与实践， 2005； 10（1）∶1.
17.	蒋俊豪，王玉琪. 共识报告——慢性静脉病变CEAP分级法的修订 [J]. 中华外科杂志， 2006； 44（1）∶59.

1. 　吴在德，吴肇汉主编. 外科学 [M]. 第6版. 北京: 人民卫生出版社， 2005∶639~642.
2. 　Ramelet AA. Treating chronic venous disease according to clinical-etiological-Anatomical-pathphysiological (CEAP) class [J]. Medicographia, 2004; 26(2)∶139.
3. 　阮瑞霞，夏鹏，张丽. 安尔碘(Ⅲ 型)处理感染伤口临床研究 [J]. 中华医院感染学杂志， 2005； 15（12）∶1390.
4. 　舒立涛，徐宝顺，王蔚然. 伤口湿性愈合的新理念 [J]. 中国实用美容整形外科杂志， 2004； 15（6）∶336.
5. 　Desmyttere J, Grard C, Mordon S， et al. A 2 years follow-up study of endovenous 980 nm laser treatment of the great saphenous vein: role of the blood content in the GSV [J]. Medical laser application, 2005; 20(4)∶283.
6. 　Proebstle TM, Lehr HA, Kargl A, et al. Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles [J]. J Vasc Surg, 2002; 35(4)∶729.
7. 　马中，王岭，边杰芳，等. 原发性下肢深静脉瓣膜功能不全的外科治疗 [J]. 中国普外基础与临床杂志， 2006； 13（6）∶659.
8. 　祁光裕，王曙逢，禄韶英, 等.腔内激光治疗静脉曲张探讨 [J]. 中国普通外科杂志， 2006； 15(5)∶335.
9. 　祁光裕，刘浩，刘珊珊，等. 正负气压按摩治疗肢体淋巴水肿 [J]. 中华物理医学与康复杂志， 2004； 26(8)∶486.
10. 　郝国珍，朱幼萍，张巧凤. 使用弹力袜防治下肢静脉疾病需注意的几个问题 [J]. 临床医药实践杂志， 2002； 11（7）∶540.
11. 　龙厚勇，刘君，郑启昌. 股浅静脉瓣膜环形缩窄术治疗原发性下肢深静脉瓣膜功能不全的疗效分析 [J]. 中国普外基础与临床杂志, 2007； 14(3)∶335.
12. 　黄英，李维敏，陆信武，等. 腔内激光联合手术治疗下肢静脉功能不全208例报告 [J]. 外科理论与实践， 2004； 9（1）∶40.
13. 　张柏根. 慢性下肢静脉功能不全的诊治进展 [J]. 中华普通外科杂志， 2003； 18(9)∶517.
14. 　王深明. 下肢深静脉瓣膜功能不全的外科治疗 [J]. 中国普外基础与临床杂志, 2006； 13（6）∶629.
15. 　Wang SM. The CECA classification: a descriptive or follow-up fool? [J]. Medicographia Venous Disorders and Evidence-Based Medicine, 2004; 26(2)∶165.
16. 　张柏根. 下肢慢性静脉功能不全与CEAP分类系统 [J]. 外科理论与实践， 2005； 10（1）∶1.
17. 　蒋俊豪，王玉琪. 共识报告——慢性静脉病变CEAP分级法的修订 [J]. 中华外科杂志， 2006； 44（1）∶59.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Assessment of Combined Management for Lower Limb Chronic Venous Insufficiency According to CEAP Classification

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