O'Hare J L, Earnshaw J J
Gloucestershire Royal Hospital, UK.
Eur J Vasc Endovasc Surg. 2007 Aug;34(2):232-5. doi: 10.1016/j.ejvs.2007.03.017. Epub 2007 May 15.
The aim was to explore the current experience and practice of vascular surgeons in the United Kingdom and Ireland regarding foam sclerotherapy for varicose veins.
A postal questionnaire was sent to 609 members of the Vascular Society of Great Britain and Ireland.
There were 281 responses (47%). Seventy surgeons (25%) used foam sclerotherapy. Most use it selectively; few (29%) offer it to all patients. It was more likely to be used for recurrent varices (71%), in older patients (61%) and for smaller non-saphenous varices (67%). The majority of surgeons (69%) used sodium tetradecyl sulphate and up to a maximum of 10-12 ml of foam. The majority used ultrasound guidance (95%), leg elevation (69%) and direct pressure over the saphenofemoral or saphenopopliteal junction during injection (63%). Eighty per cent used compression bandaging after treatment, usually for 7 days (44%). Ninety percent advised compression stockings, usually Class II (64%) for 14 days (39%). Serious complications were few, but eleven surgeons had seen a deep vein thrombosis, two had seen a patient with a stroke and one a transient ischaemic attack.
Foam sclerotherapy was used by a quarter of surgeons who replied to the survey. Aspects of technique varied considerably and studies to determine optimal techniques are needed. Serious complications with the technique were rare.
旨在探究英国和爱尔兰血管外科医生在泡沫硬化疗法治疗静脉曲张方面的当前经验和实践。
向大不列颠及爱尔兰血管外科学会的609名成员发送了邮政问卷。
共收到281份回复（47%）。70名外科医生（25%）使用泡沫硬化疗法。大多数人选择性使用；很少有人（29%）将其用于所有患者。它更有可能用于复发性静脉曲张（71%）、老年患者（61%）和较小的非隐静脉性静脉曲张（67%）。大多数外科医生（69%）使用十四烷基硫酸钠，且泡沫用量最多为10 - 12毫升。大多数人使用超声引导（95%）、抬高腿部（69%）以及在注射过程中对隐股或隐腘交界处直接加压（63%）。80%的人在治疗后使用压迫绷带，通常为7天（44%）。90%的人建议使用弹力袜，通常为二级（64%），使用14天（39%）。严重并发症很少见，但有11名外科医生见过深静脉血栓形成病例，2名见过中风患者，1名见过短暂性脑缺血发作患者。
回复调查的外科医生中有四分之一使用泡沫硬化疗法。技术方面差异很大，需要开展研究以确定最佳技术。该技术引发的严重并发症很罕见。
