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大隐静脉腔内激光消融联合泡沫硬化治疗静脉曲张性溃疡
引用本文:钱少圭,陈磊,白晓光,王皆,朱志宏.大隐静脉腔内激光消融联合泡沫硬化治疗静脉曲张性溃疡[J].中国介入影像与治疗学,2018,15(2):73-76.
作者姓名:钱少圭  陈磊  白晓光  王皆  朱志宏
作者单位:常熟市第一人民医院 苏州大学附属常熟医院介入科, 江苏 常熟 215500,苏州市立医院南京医科大学附属苏州医院介入血管外科, 江苏 苏州 215000,常熟市第一人民医院 苏州大学附属常熟医院介入科, 江苏 常熟 215500,常熟市第一人民医院 苏州大学附属常熟医院介入科, 江苏 常熟 215500,常熟市第一人民医院 苏州大学附属常熟医院介入科, 江苏 常熟 215500
基金项目:常熟市卫生局资助性重点项目(csws201412)。
摘    要:目的观察腔内激光消融(EVLA)大隐静脉联合泡沫硬化治疗下肢静脉曲张性溃疡(VULE)的临床疗效。方法回顾性分析接受EVLA联合泡沫硬化治疗的19例VULE患者(20条患肢)的资料,并观察治疗效果。结果EVLA联合泡沫硬化治疗19例20条患肢均获成功,溃疡长径术前(2.30±1.61)cm],术后2周明显缩小到(0.90±0.32)cm(t=10.53,P0.01),溃疡愈合时间为7天~3个月,无复发病例。结论大隐静脉EVLA联合泡沫硬化治疗VULE临床疗效好。

关 键 词:静脉曲张  溃疡  激光  硬化疗法
收稿时间:2017/10/12 0:00:00
修稿时间:2018/1/5 0:00:00

Endovenous laser ablation of great saphenous vein combined with foam sclerotherapy in treating variceal ulcer of lower extremities
QIAN Shaogui,CHEN Lei,BAI Xiaoguang,WANG Jie and ZHU Zhihong.Endovenous laser ablation of great saphenous vein combined with foam sclerotherapy in treating variceal ulcer of lower extremities[J].Chinese Journal of Interventional Imaging and Therapy,2018,15(2):73-76.
Authors:QIAN Shaogui  CHEN Lei  BAI Xiaoguang  WANG Jie and ZHU Zhihong
Institution:Department of Interventional Radiology, Changshu No.1 People''s Hospital, Changshu Hospital of Suzhou University, Changshu 215500, China,Department of Interventional Radiology and Vascular Surgery, Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215000, China,Department of Interventional Radiology, Changshu No.1 People''s Hospital, Changshu Hospital of Suzhou University, Changshu 215500, China,Department of Interventional Radiology, Changshu No.1 People''s Hospital, Changshu Hospital of Suzhou University, Changshu 215500, China and Department of Interventional Radiology, Changshu No.1 People''s Hospital, Changshu Hospital of Suzhou University, Changshu 215500, China
Abstract:Objective To explore the clinical efficacy of endovenous laser ablation (EVLA) of great saphenous vein combined with foam sclerotherapy in the treatment of variceal ulcer of lower extremities (VULE).Methods Data of 19 patients (20 affected limbs) with VULE were analyzed retrospectively. EVLA combined with foam sclerotherapy was performed, and the clinical effect was observed.Results The treatment was successfully performed in 19 patients (20 affected limbs). Diameters of the ulcer was (2.30±1.61)cm before operation and (0.90±0.32)cm 2 weeks after operation, respectively (t=10.53, P<0.01), and the ulcers healed from 7 days to 3 months after the surgery in 20 patients without recurrence.Conclusion EVLA of great saphenous vein combined with foam sclerotherapy has good clinical efficacy.
Keywords:Varicose veins  Ulcer  Lasers  Sclerotherapy
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