Kuyumcu Gokhan, Salazar Gloria Maria, Prabhakar Anand M, Ganguli Suvranu
Cleveland Clinic Imaging Institute, Cleveland, OH 44195, USA.
Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Cardiovasc Diagn Ther. 2016 Dec;6(6):593-598. doi: 10.21037/cdt.2016.11.12.
Incompetent superficial veins are the most common cause of lower extremity superficial venous reflux and varicose veins; however, incompetent or insufficient perforator veins are the most common cause of recurrent varicose veins after treatment, often unrecognized. Perforator vein insufficiency can result in pain, skin changes, and skin ulcers, and often merit intervention. Minimally invasive treatments have replaced traditional surgical treatments for incompetent perforator veins. Current minimally invasive treatment options include ultrasound guided sclerotherapy (USGS) and endovascular thermal ablation (EVTA) with either laser or radiofrequency energy sources. Advantages and disadvantages of each modality and knowledge on these treatments are required to adequately address perforator venous disease.
功能不全的浅静脉是下肢浅静脉反流和静脉曲张最常见的原因；然而，功能不全或不足的交通静脉是治疗后复发性静脉曲张最常见的原因，常常未被识别。交通静脉功能不全可导致疼痛、皮肤改变和皮肤溃疡，通常值得干预。微创治疗已取代了针对功能不全交通静脉的传统手术治疗。目前的微创治疗选择包括超声引导下硬化疗法（USGS）以及使用激光或射频能量源的血管腔内热消融（EVTA）。充分应对交通静脉疾病需要了解每种治疗方式的优缺点以及这些治疗方法的相关知识。
