Department of Radiology, Guangdong Provincial Corps Hospital of Chinese People's Armed Police Forces, Guangzhou Medical College, Guangdong, China.
Dermatol Surg. 2011 Jul;37(7):992-8. doi: 10.1111/j.1524-4725.2011.02021.x. Epub 2011 May 17.
Duplex ultrasound guidance of foam sclerotherapy has been established as a routine and standard treatment of varicose veins, but duplex-guided technique is not perfect because of its inherent shortcomings, and correlative complications have been reported. Moreover, not every country or region of the world can use duplex ultrasound guidance for foam sclerotherapy.
To describe an original technique of using radiologically guided foam sclerotherapy for the treatment of leg varicose veins and to evaluate the technical feasibility and early results.
Fifty-nine legs of 41 patients (23 male, 18 female; median age 47, range 25-75) with leg varicose veins treated using radiologically guided foam sclerotherapy were assessed. Polidocanol 1% was foamed 1:4 with air using the Tessari method. Foam sclerotherapy of the superficial varicosities and the great saphenous veins (GSVs) were performed using the filling-defects technique under radiologic guidance. Postoperative compression was maintained for 15 days. Clinical outcome was assessed according to clinical criteria.
The procedure was technically successful in all 59 legs. At a median 9.0 months (range 6-12 months) of follow-up, the clinical outcome was full success in 53 legs (89.8%), and partial success in six legs (10.2%). There was no evidence of recurrence of varices or GSV reflux during follow-up. Minor complications included skin pigmentation in 27 legs (45.8%), and superficial thrombophlebitis in 18 legs (30.5%). No major complications or systemic events occurred.
Radiologically guided foam sclerotherapy could be a safe, effective, and technically feasible treatment for varicose veins.
双功能超声引导下泡沫硬化疗法已被确立为治疗静脉曲张的常规和标准治疗方法，但由于其固有缺陷，双功能超声引导技术并不完善，并且已经报道了相关并发症。此外，并非世界上的每个国家或地区都可以使用双功能超声引导进行泡沫硬化疗法。
描述一种使用放射引导下泡沫硬化疗法治疗腿部静脉曲张的原创技术，并评估其技术可行性和早期结果。
评估了 41 例患者（23 名男性，18 名女性；中位年龄 47 岁，范围 25-75 岁）59 条腿部的静脉曲张，采用放射引导下泡沫硬化疗法进行治疗。使用 Tessari 法将 1%聚多卡醇与空气以 1:4 的比例制成泡沫。在放射学引导下使用充盈缺损技术对浅静脉曲张和大隐静脉（GSV）进行泡沫硬化治疗。术后 15 天内持续压迫。根据临床标准评估临床结果。
59 条腿的手术均成功完成。在中位数为 9.0 个月（范围 6-12 个月）的随访中，53 条腿（89.8%）的临床结果为完全成功，6 条腿（10.2%）为部分成功。随访期间无静脉曲张或 GSV 反流复发的证据。轻微并发症包括 27 条腿（45.8%）皮肤色素沉着和 18 条腿（30.5%）浅表血栓性静脉炎。无重大并发症或全身事件发生。
放射引导下泡沫硬化疗法可能是一种安全、有效、技术可行的静脉曲张治疗方法。
