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[下肢静脉曲张疾病患者高位静脉血液反流的微创治疗方法选择]

[Choice of the method of minimally invasive treatment of high venovenous blood reflux in patients with varicose disease of the lower extremity veins].

作者信息

Sukovatykh B S, Sukovatykh M B, Belikov L N, Rodionov O A

出版信息

Vestn Khir Im I I Grek. 2012;171(2):29-33.

Abstract

An analysis of complex examination and the following treatment of 337 patients with varicose disease was made. According to the results of the examination three groups of patients were established: the first group--of low intensive, the second group--of mean intensive, the third group--of highly intensive blood reflux. The patients of the first group were treated by the method of injection-sclerosing therapy. In the second group the sclero-surgical technology was used: after crossectomy into the lumen of the varicosity altered part of the great subcutaneous vein the sclerosing substance was administered through a catheter. In the third group ablation of the great subcutaneous vein of the femur was performed and obturation of the varicosity altered veins of the crus with the autovein ablated from the femur. In the first group recurrent diseases were noted in 9.1%, in the second group--in 9.4%, in the third--in 3% of the patients.

摘要

对337例静脉曲张疾病患者进行了综合检查及后续治疗分析。根据检查结果,将患者分为三组:第一组——血液反流强度低,第二组——血液反流强度中等,第三组——血液反流强度高。第一组患者采用注射硬化疗法治疗。第二组采用硬化手术技术:在大隐静脉曲张改变部位横切后,通过导管注入硬化剂。第三组进行了股部大隐静脉切除术,并用从股部切除的自体静脉闭塞小腿曲张改变的静脉。第一组患者复发率为9.1%,第二组为9.4%,第三组为3%。

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