Labas P, Cambal M, Ohradka B
1st Department of Surgery, Faculty of Medicine, Comenius University, University Hospital, Bratislava, Slovakia.
Bratisl Lek Listy. 2005;106(8-9):279-80.
The aim of this study was to compare the therapeutic results of patients whose bleeding points were sutured and patients treated with compression sclerotherapy. In the years 1983-2000, 56 patients with profuse bleeding from varicose veins were treated. In a subgroup of patients with compression sclerotherapy--Fegan's way (32 patients), bleeding wound was healed completely within 7 days on average (5-13). All ulcers have healed within 2 months. The presented approach used is a surgical procedure (stitch, removal of large varicosities). Fegan's technique of compression sclerotherapy, with a detergent sclerosing solution (S.T.D.), enables to complete sclerotherapy of all pathological reflux points during 1-2 visits not only with good results, but also as a one-day surgery, keeping the patient work (Ref. 7).
本研究的目的是比较出血点缝合患者与接受压迫硬化疗法患者的治疗效果。在1983年至2000年期间,对56例静脉曲张大量出血的患者进行了治疗。在采用压迫硬化疗法(费根法)的亚组患者(32例)中,出血伤口平均在7天内(5 - 13天)完全愈合。所有溃疡均在2个月内愈合。所采用的方法是一种外科手术(缝合、切除大的静脉曲张)。费根的压迫硬化疗法技术,使用一种去污硬化溶液(S.T.D.),能够在1 - 2次就诊期间完成所有病理性反流点的硬化治疗,不仅效果良好,而且作为一种日间手术,患者可维持工作(参考文献7)。