قروح الساق الوريدية التي لا تلتئم بعد العلاج الضاغط — ما الخطوة التالية؟

References

DOI: 10.1016/j.jscai.2025.103729

• For patients with venous ulcers, the SCAI guideline panel recommends compression therapy rather than no compression therapy (strong recommendation, moderate certainty of evidence).
• For patients with venous ulcers without truncal vein reflux, the SCAI guideline panel suggests foam sclerotherapy plus conservative management rather than conservative management alone (conditional recommendation, low certainty of evidence).
• Compression therapy for venous ulcers and comprehensive wound care are feasible and necessary, but supplementary ablative therapy may be needed to achieve faster and higher rates of ulcer healing.
• More recent RCT data found that sclerotherapy may improve healing time for ulcers (MD, 26 fewer days; 95% CI, 40.69–11.31).