目的 探讨腔内激光闭合术(EVLA)联合泡沫硬化剂注射术(FS)在大隐静脉曲张(GSVV)治疗中的临床价值。 方法 回顾性分析自2016年1月至2019年8月收治的85例(105 患腿)行腔内微创治疗大隐静脉曲张患者,采用激光闭合大隐静脉主干联合泡沫硬化剂注射小腿曲张静脉技术,观察该治疗方式的治愈率、并发症发生率、术后随访大隐静脉主干闭合和复发情况,评价其治疗效果。结果 本组患者术中、术后无严重肺栓塞、药物过敏并发症发生,术后1周,患者下肢酸沉、疲乏等症状消失,无腓肠肌疼痛、下肢肿胀等静脉血栓形成的征象。2例出现皮肤感觉异常,3个月后恢复。2例出现局部炎性肿块,理疗后治愈。随访3~24个月,大隐静脉主干闭合率均为100%,83例治愈,2例小腿残留小静脉曲张,经再次注射硬化剂治愈。 结论 采用腔内激光闭合联合泡沫硬化剂注射技术治疗大隐静脉曲张,可以获得创伤较小、并发症少、术后恢复快、治愈率高的临床效果。
Abstract
Objective: To investigate the clinical value of intracavitary laser closure (EVLA) combined with foam sclerotherapy (FS) in the treatment of great saphenous vein varicosity (GSVV). Methods: A retrospective analysis of 85 cases (105 legs) were made from January 2016 to August 2019, who had minimally invasive treatment of great saphenous varicose veins combined with foam sclerotherapy injection technology, complications, postoperative follow-up of great closure rate of the great saphenous vein and relapse were observed, and its therapeutic effect was evaluated. Results: There were no pulmonary embolism or drug allergy complications in this group during and after the operation. 1 week after the operation, the symptoms of lower extremity such as acid and fatigue disappeared, and there were no signs of venous thrombosis such as gastrecnemius pain and lower extremity swelling. Two cases had abnormal skin sensation and recovered after 3 months. Local inflammatory mass appeared in 2 cases and was cured after physiotherapy. During the follow-up period of 3~24 months, the main trunk closure rate of the great saphenous vein was 100%, 83 cases were cured, and 2 cases of residual varicose veins in the lower leg were cured by re-injection of sclerotherapy. Conclusion: The treatment of varicose great saphenous vein by intracavitary laser closure combined with foam sclerotherapy can achieve the clinical effect of less trauma, fewer complications, faster postoperative recovery and higher cure rate.
关键词
大隐静脉曲张/腔内激光治疗/泡沫硬化剂注射/微创
Key words
great saphenous vein varicosity/endovenous laser ablation/foam sclerotherapy/minimally invasive
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