司春强. 泡沫硬化剂治疗大隐静脉曲张的疗效分析[J]. 蚌埠医科大学学报, 2014, 38(3): 329-331.
    引用本文: 司春强. 泡沫硬化剂治疗大隐静脉曲张的疗效分析[J]. 蚌埠医科大学学报, 2014, 38(3): 329-331.
    SI Chunqiang. The curative effect of foam sclerotherapy in the treatment of great saphenous vein varicosis[J]. Journal of Bengbu Medical University, 2014, 38(3): 329-331.
    Citation: SI Chunqiang. The curative effect of foam sclerotherapy in the treatment of great saphenous vein varicosis[J]. Journal of Bengbu Medical University, 2014, 38(3): 329-331.

    泡沫硬化剂治疗大隐静脉曲张的疗效分析

    The curative effect of foam sclerotherapy in the treatment of great saphenous vein varicosis

    • 摘要: 目的:探讨泡沫硬化剂治疗大隐静脉曲张的临床效果。方法:选择30例(条)下肢静脉曲张的患者,对其进行大隐静脉高位结扎,小腿曲张静脉内注射1%乙氧硬化醇泡沫硬化剂,观察大隐静脉曲张症状的改善。结果:30例患者(30肢)均成功接受治疗。平均每条患肢应用20 ml泡沫硬化剂,无严重并发症发生。术后5例局部存留曲张静脉团块,但超声检查未见血流信号;3例曲张静脉附近出现炎性反应。24条患肢于治疗后2周、3个月后复诊血管超声时大隐静脉主干闭塞。平均随访3个月,24例患者下肢临床症状明显缓解,下肢明显的曲张静脉消失;2条患肢的溃疡于术后2个月愈合。结论:泡沫硬化剂疗法可有效治疗大隐静脉曲张,联合大隐静脉高位结扎可增加治疗的安全性,是治疗大隐静脉曲张的新方法。

       

      Abstract: Objective:To evaluate the clinical effects of foam sclerotherapy in the treatment of great saphenous vein varicosis. Methods:Thirty cases(sides) with varicose veins in lower extremities were treated with high ligation of great saphenous vein and 1% polidocanol foam hardeners injecting into varicose vein of shank. The symptoms of great saphenous vein varicosis were observed. Results:All cases were successfully treated. The 20 ml of foam hardeners was used in each limb,no severe complications was found. The local lumps of varicose veins in 5 cases were found,no blood flow sign were detected by ultrasound,and the inflammatory response around varicose veins in 3 cases were found. The stem occlusion in 24 affected sides were confirmed by vascular ultrasound re-detecting in 2 weeks and 3 months after treatment. The average follow-up period was 3 months,the clinical symptoms in 24 cases were significant alleviated,varicose veins in lower extremities were disappeared,and the ulcer in two sides were cured in two months after operation. Conclusions:The effects of foam sclerotherapy in the treatment of great saphenous vein varicosis is good. The treatment combined with high ligation of great saphenous vein can increase the safety,which is a new means for treating great saphenous vein varicosis.

       

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