Division of Vascular Surgery, Albany Medical College/Albany Medical Center Hospital, Albany, NY.
Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
J Vasc Surg Venous Lymphat Disord. 2017 Mar;5(2):293-296. doi: 10.1016/j.jvsv.2016.10.085. Epub 2017 Jan 16.
Pathologic perforating veins have become an interest to the venous specialist caring for patients with CEAP 4 to 6 disease. Historically, open perforator ligation and then subdermal endoscopic perforator ligation was described. These methods had clear shortcomings. More recently, thermal ablation techniques, including radiofrequency ablation and laser ablation, have been described. Ultrasound-guided sclerotherapy has also been used as a possible means to treat pathologic perforator veins. This report describes and summarizes the updated techniques to treat perforating veins in a challenging patient population.
病理性穿通静脉已成为静脉专科医生关注的焦点，这些医生负责治疗 CEAP 4 至 6 级疾病的患者。历史上，曾描述过开放穿通静脉结扎术和皮下内镜穿通静脉结扎术。这些方法存在明显的缺点。最近，热消融技术，包括射频消融和激光消融，已经被描述。超声引导下硬化疗法也被用作治疗病理性穿通静脉的一种可能方法。本报告介绍并总结了治疗具有挑战性患者群体中穿通静脉的最新技术。
