超声引导下泡沫硬化疗法后慢性静脉溃疡的快速愈合
Rapid healing of chronic venous ulcers following ultrasound-guided foam sclerotherapy.
作者信息
Hertzman P A, Owens R
机构信息
Los Alamos Medical Center, Los Alamos, New Mexico 87544, USA.
出版信息
Phlebology. 2007;22(1):34-9; discussion 39. doi: 10.1258/026835507779700662.
OBJECTIVE
To measure the short term response of venous ulcers in patients treated with ultrasound-guided foam sclerotherapy (UGFS) at a two-week clinic in Honduras.
METHODS
Nine females (ages 25-86; mean 48.1 years) with 13 venous ulcers and saphenofemoral junction reflux were treated with UGFS (polidocanol 3% foam; 1-4 injections; 2-11 cc; Mean Volume 5.4 cc). The dimensions of each ulcer and of the great saphenous vein (GSV) were measured before treatment and one week later.
RESULTS
At one week follow-up 2 ulcers healed, 2 GSVs closed, and there was significant improvement in ulcer dimensions (p = 0.00) and size of GSV (p = 0.00).
CONCLUSIONS
Venous ulcers in patients with serve venous insufficiency responded quickly to UGFS. Long-term follow-up will be important to determine the sustainability of these results.
目的
在洪都拉斯的一家为期两周的诊所中，测量接受超声引导下泡沫硬化疗法（UGFS）治疗的患者静脉溃疡的短期反应。
方法
9名患有13处静脉溃疡且存在大隐静脉股静脉交界处反流的女性（年龄25 - 86岁；平均48.1岁）接受了UGFS治疗（3%聚多卡醇泡沫；1 - 4次注射；2 - 11毫升；平均体积5.4毫升）。在治疗前和一周后测量每个溃疡以及大隐静脉（GSV）的尺寸。
结果
在一周的随访中，2处溃疡愈合，2条GSV闭合，溃疡尺寸（p = 0.00）和GSV大小（p = 0.00）有显著改善。
结论
严重静脉功能不全患者的静脉溃疡对UGFS反应迅速。长期随访对于确定这些结果的可持续性很重要。
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