Brown Kellie, Moore Colleen J
Medical College of Wisconsin, Milwaukee, WI, USA.
Perspect Vasc Surg Endovasc Ther. 2009 Dec;21(4):226-31. doi: 10.1177/1531003509356801. Epub 2009 Dec 16.
Chronic venous insufficiency resulting from great saphenous vein (GSV) reflux is a problem seen with increasing frequency in most vascular surgical practices. Traditionally treated with high ligation and stripping, minimally invasive techniques for ablation of the GSV have evolved. These include endovenous laser surgery, radiofrequency ablation, and foam sclerotherapy. The authors discuss the mechanism of action of each modality, as well as the techniques for intervention, outcomes, and complications. Minimally invasive treatment of venous insufficiency is efficacious, with less morbidity than high ligation and stripping, allowing for successful treatment and improved patient satisfaction.
大隐静脉（GSV）反流导致的慢性静脉功能不全是大多数血管外科手术中越来越常见的问题。传统上采用高位结扎和剥脱术治疗，现在大隐静脉消融的微创技术已经发展起来。这些技术包括腔内激光手术、射频消融和泡沫硬化疗法。作者讨论了每种治疗方式的作用机制，以及干预技术、治疗效果和并发症。静脉功能不全的微创治疗是有效的，与高位结扎和剥脱术相比，发病率更低，能够实现成功治疗并提高患者满意度。
