Sullivan Leo P, Quach Giang, Chapman Tina
St. Elizabeth Medical Center, NY, USA
Touro College of Osteopathic Medicine, NY, USA.
Phlebology. 2014 Dec;29(10):654-7. doi: 10.1177/0268355513501301. Epub 2013 Aug 22.
To present the use of retrograde mechanico-chemical endovenous ablation for ablating the remaining below-knee great saphenous vein in patients with venous stasis ulcers persisting after above-knee great saphenous vein ablation.
This small study includes six patients with persistent C6EpAsPr ulcers following above-knee great saphenous vein ablation with no incompetent perforators. They were treated using retrograde mechanico-chemical endovenous ablation approach followed by Unna therapy, followed up on post op days 3 and 30 with ultrasound, and subsequent weekly visits until the wound healed.
Six patients (four men and two women), have average ulcer size of 4.1 cm(2). There was no nerve injury or other complications after mechanico-chemical endovenous ablation. These patients had an average of 28 ± 11 days healing time, compared with a mean of five months in traditional method.
Mechanico-chemical endovenous ablation can be safe and effective in the treatment of patients with below-knee great saphenous vein insufficiency with venous ulcers.
介绍逆行机械化学性静脉腔内消融术在治疗膝上大隐静脉消融术后仍存在静脉淤滞性溃疡患者的膝下残留大隐静脉中的应用。
这项小型研究纳入了6例膝上大隐静脉消融术后仍存在C6EpAsPr级持续性溃疡且无功能不全穿支静脉的患者。他们接受了逆行机械化学性静脉腔内消融术，随后进行了尤纳疗法，术后第3天和第30天进行超声随访，随后每周随访直至伤口愈合。
6例患者（4例男性和2例女性），平均溃疡面积为4.1平方厘米。机械化学性静脉腔内消融术后未出现神经损伤或其他并发症。这些患者的平均愈合时间为28±11天，而传统方法的平均愈合时间为5个月。
机械化学性静脉腔内消融术治疗膝下大隐静脉功能不全伴静脉溃疡患者可能安全有效。
