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微创静脉手术的当前标准与最新进展

Current standards and recent progress in minimally invasive phlebo surgery.

作者信息

Göckeritz Oliver

机构信息

Chirurgische Praxisklinik and Venenzentrum Leipzig Nonnenstrasse 44, Leipzig, Germany.

出版信息

J Cutan Aesthet Surg. 2012 Apr;5(2):104-14. doi: 10.4103/0974-2077.99443.

DOI:10.4103/0974-2077.99443
PMID:23060705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3461787/
Abstract

Venous disorders are among the most frequent disease patterns in the Western world. Still at the turn to the 21st century there was no alternative available to the surgical treatment of varicosis. Meanwhile the endoluminal treatment methods have established and have demonstrated their efficiency while having lower side effects in comparison to the traditional treatment, even though conservatively oriented surgeons are still skeptically eyeing these methods. In the US, according to the latest MRG report of 2011, about 95% of all venous surgeries are already done endoluminally. This paper offers an overview of prevailing treatment standards of the most important endoluminal therapy techniques and shows current trends.

摘要

静脉疾病是西方世界最常见的疾病类型之一。直到21世纪之交，治疗静脉曲张除了手术治疗外没有其他选择。与此同时，腔内治疗方法已经确立，并已证明其有效性，与传统治疗相比副作用更小，尽管保守派外科医生仍对这些方法持怀疑态度。在美国，根据2011年最新的MRG报告，所有静脉手术中约95%已经通过腔内方式完成。本文概述了最重要的腔内治疗技术的现行治疗标准，并展示了当前的趋势。

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Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial.机械化学无肿胀性静脉腔内消融术：初步临床试验的最终结果
Phlebology. 2012 Mar;27(2):67-72. doi: 10.1258/phleb.2011.010100. Epub 2011 Jul 29.
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Endovenous mechanochemical ablation of great saphenous vein incompetence using the ClariVein device: a safety study.使用 ClariVein 装置静脉腔内机械化学消融治疗大隐静脉功能不全：一项安全性研究。
J Endovasc Ther. 2011 Jun;18(3):328-34. doi: 10.1583/11-3394.1.
3
Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of calf varicosities.
下肢静脉曲张腔内射频消融联合或不联合小腿曲张静脉治疗的 3 年欧洲随访结果。
J Vasc Surg. 2011 Jul;54(1):146-52. doi: 10.1016/j.jvs.2010.12.051. Epub 2011 Mar 24.
4
Laser saphenous ablations in more than 1,000 limbs with long-term duplex examination follow-up.对1000余条肢体进行激光大隐静脉消融术，并进行长期双功超声检查随访。
Ann Vasc Surg. 2011 Jan;25(1):71-8. doi: 10.1016/j.avsg.2010.09.005.
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Endovenous laser ablation of great saphenous veins using a 1470 nm diode laser and the radial fibre--follow-up after six months.使用1470纳米二极管激光和径向光纤对大隐静脉进行静脉内激光消融术——六个月后的随访
Phlebology. 2011 Feb;26(1):35-9. doi: 10.1258/phleb.2010.009096. Epub 2010 Dec 9.
6
Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins.蒸汽消融作为治疗隐静脉曲张的新型热疗方法的原理验证研究。
J Vasc Surg. 2011 Jan;53(1):181-6. doi: 10.1016/j.jvs.2010.06.171.
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Percutaneus treatment of varicose veins with bipolar radiofrequency ablation.经皮双极射频消融治疗静脉曲张。
Eur J Radiol. 2010 Jul;75(1):43-7. doi: 10.1016/j.ejrad.2010.04.015. Epub 2010 May 31.
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Endovenous laser therapy--application studies and latest investigations.静脉内激光治疗——应用研究和最新调查。
J Biophotonics. 2010 Jun;3(5-6):269-76. doi: 10.1002/jbio.200900097.
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Radiofrequency-powered segmental thermal obliteration carried out with the ClosureFast procedure: results at 1 year.采用ClosureFast手术进行的射频驱动节段性热消融：1年结果
Ann Vasc Surg. 2010 Apr;24(3):360-6. doi: 10.1016/j.avsg.2009.09.019. Epub 2010 Jan 29.
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Saphenous laser ablation at 1470 nm targets the vein wall, not blood.1470纳米的大隐静脉激光消融术针对的是静脉壁，而非血液。
Vasc Endovascular Surg. 2009 Oct-Nov;43(5):467-72. doi: 10.1177/1538574409335916. Epub 2009 Jul 23.