[1]金冲*,冯一浮,肖春莹①,等.超声实时监测射频腔内闭合联合点式剥脱治疗大隐静脉曲张[J].中国微创外科杂志,2018,18(6):528-530.
　Jin Chong*,Feng Yifu*,Xiao Chunying,et al.Radiofrequency Endovenous Obliteration and Ambulatory Phlebectomy Under Real-time Visualization of Doppler Ultrasound for Great Saphenous Vein Varicosity[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):528-530.
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超声实时监测射频腔内闭合联合点式剥脱治疗大隐静脉曲张()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年6期
页码:
528-530
栏目:
临床研究
出版日期:
2018-09-30

文章信息/Info

Title:
Radiofrequency Endovenous Obliteration and Ambulatory Phlebectomy Under Real-time Visualization of Doppler Ultrasound for Great Saphenous Vein Varicosity
作者:
金冲*; 冯一浮; 肖春莹①; 江浩; 莫经刚; 李瑾①
浙江省台州市中心医院普外科，台州318000
Author(s):
Jin Chong*;  Feng Yifu*;  Xiao Chunying;  et al.
*Department of Genaral Surgery, Taizhou Central Hospital, Taizhou 318000, China
关键词:
大隐静脉曲张; 射频; 超声
Keywords:
Great saphenous vein varicosity; Radiofrequency; Ultrasound
文献标志码:
A
摘要:
目的评价超声实时监测射频腔内闭合联合点式剥脱治疗大隐静脉曲张的疗效。方法回顾性分析2016年11月~2017年10月利用术中超声检测下ClosureFast射频腔内消融联合点式抽剥治疗大隐静脉曲张40例（67条患肢）的临床资料。结果40例（67条患肢）均手术成功，仅2例术后需要使用止痛药物。均无下肢深静脉血栓、肺栓塞、皮肤灼伤等并发症发生。1例术后膝关节内侧皮肤感觉减退，1个月后恢复正常。术后随访2~12个月，平均6个月，无复发。结论超声实时监测射频腔内闭合结合点式剥脱治疗大隐静脉曲张，手术操作简便，创伤小，美观，术后并发症少，复发率低。
Abstract:
ObjectiveTo evaluate the therapeutic effect of radiofrequency endovenous obliteration and ambulatory phlebectomy under real-time visualization of color Doppler ultrasound in the treatment of great saphenous vein varicosity.MethodsClinical data of 40 cases (67 limbs) of great saphenous vein varicosity treated by using ClosureFast radiofrequency endovascular ablation and ambulatory phlebectomy under the visualization of Doppler ultrasound from November 2016 to October 2017 were retrospectively analyzed.ResultsThe operation was successfully completed in all the 40 cases (67 limbs). There were only 2 cases needing painkillers after the operation. There were no serious complications, such as formation of deep venous thrombosis, pulmonary embolism, or skin burn. There was 1 case of transient decreased sention of the medial side of the knee, which completely recovered after 1 month. Postoperative follow-up for 2-12 months (mean, 6 months) found no recurrence.ConclusionRadiofrequency endovenous obliteration and ambulatory phlebectomy under real-time visualization of color Doppler ultrasound is an easy and effective technique in the treatment of great saphenous vein varicosity with less trauma, fewer complications and lower rate of recurrence.

参考文献/References:

[1]贾琪，昊丹明，王成刚，等.彩超引导下聚桂醇泡沫硬化剂注射治疗下肢静脉曲张.中国微创外科杂志，2016，16（3）:276-278.
[2]冯苏，田志龙，贾高磊，等.限制性内翻剥脱联合TriVex旋切及泡沫硬化剂治疗下肢静脉曲张（附132例报告）.中国微创外科杂志，2014，14（2）:151-154.
[3]姜建威,吴清华,顾琛,等.腔内激光联合泡沫硬化杂交手术治疗下肢静脉曲张126例.中华普通外科杂志，2015，30（4）:276-279.
[4]盛丽，霍树靓，李亮,等.超声监视引导下行射频闭合术治疗大隐静脉曲张临床观察.西部中医药，2014，27（9）:160-161.
[5]Porter JM,Moneta GL.Reporting standards in venous disease:an update.International Consensus Committee on Chronic Venous Disease.J Vasc Surg,1995,21(4):635-645.
[6]Gloviczki P,Comerota AJ,Dalsing MC,et al.The care of patients with varicose veins and associated chronic venous diseases:clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum.J Vasc Surg,2011,53(5 Suppl):2S-48S.
[7]Wittens C,Davies AH,Bkgaard N,et al.Editor’s choice-management of chronic venous disease:clinical practice guidelines of Euroean Society for Vascular Surgery(ESVS).Eur J Vasc Endovasc Surg,2015,49(6):678-737.
[8]Almeida JI,Kaufman J,Gckeritz O,et al.Radiofrequency endovenous ClosureFAST versus laser ablation for the treatment of great saphenous reflux:a multicenter,single-blinded,randomized study (RECOVERY study).J Vasc Interv Radiol,2009,20(6):752-759.
[9]Rasmussen L,Lawaetz M,Serup J,et al.Randomized clinical trial comparing endovenous laser ablation,radiofrequency ablation,foam sclerotherapy,and surgical stripping for great saphenous varicose veins with 3-year follow-up.J Vasc Surg Venous Lymphat Disord,2013,1(4):349-356.
[10]He Z,Zheng C,Zhang H,et al.Comparison of ultrasound guided endovenous laser ablation and radiofrequency for the varicose veins treatment:an updated meta-analysis. Int J Surg,2017，39（5）:267-275.
[11]贾琪,吴丹明,王成刚,等.射频闭合术联合泡沫硬化剂注射治疗下肢静脉曲张.中国微创外科杂志，2011，11（5）:452-453.
[12]周立新,王茂林,刘佳慧,等.彩色多普勒超声引导无切口皮下缝扎大隐静脉治疗大隐静脉曲张.中国微创外科杂志，2014，14（11）:991-993.

备注/Memo

备注/Memo:
*通讯作者，E-mail：13757689065@163.com①超声科
更新日期/Last Update: 2018-09-30