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[微创导管在静脉曲张治疗中的应用：新的金标准？]

[Minimally invasive catheters in varicose vein treatment : New gold standard?].

作者信息

Böhler Kornelia

机构信息

Medical University of Vienna, Währinger Gürtel 18-20, 1090, Wien, Österreich.

出版信息

Dermatologie (Heidelb). 2023 Mar;74(3):163-170. doi: 10.1007/s00105-023-05113-w. Epub 2023 Feb 22.

DOI:10.1007/s00105-023-05113-w
PMID:36811641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9981706/
Abstract

BACKGROUND

Endovenous procedures are commonly used for varicose vein treatment.

OBJECTIVES

Types, functionality, and significance of endovenous devices.

METHODS

To describe the different endovenous devices, their mode of action, inherent risks and efficacy according to the literature.

RESULTS

Long-term data confirm that endovenous procedures are equally effective as open surgery. Postoperative pain is minimal and downtime shorter after catheter interventions.

CONCLUSION

Catheter-based endovenous procedures increase the diversity of varicose vein treatment options. They are preferred by patients due to less pain and shorter downtime.

摘要

背景

静脉内治疗方法常用于静脉曲张的治疗。

目的

静脉内装置的类型、功能及意义。

方法

根据文献描述不同的静脉内装置、其作用方式、固有风险及疗效。

结果

长期数据证实静脉内治疗方法与开放手术同样有效。导管介入术后疼痛轻微，恢复时间较短。

结论

基于导管的静脉内治疗方法增加了静脉曲张治疗选择的多样性。因其疼痛较轻且恢复时间较短，受到患者青睐。

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本文引用的文献

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Endovenous laser ablation using laser systems emitting at wavelengths > 1900 nm: a systematic review.使用波长>1900nm的激光系统进行静脉内激光消融：一项系统评价。
Lasers Med Sci. 2022 Dec;37(9):3473-3483. doi: 10.1007/s10103-022-03609-w. Epub 2022 Jul 12.
2
Peri-procedural thromboprophylaxis in the prevention of DVT in varicose vein interventions: A systematic review and meta-analysis.预防静脉曲张干预中深静脉血栓形成的围手术期血栓预防：一项系统评价和荟萃分析。
Surgeon. 2022 Dec;20(6):e392-e404. doi: 10.1016/j.surge.2022.04.002. Epub 2022 May 16.
3
Lower prevalence of stump reflux after endovenous laser flush ablation of the great saphenous vein.大隐静脉腔内激光消融术后低位残端反流的发生率降低。
Vasa. 2022 Jul;51(4):222-228. doi: 10.1024/0301-1526/a001007. Epub 2022 May 9.
4
Interventions for great saphenous vein incompetence.大隐静脉功能不全的治疗方法。
Cochrane Database Syst Rev. 2021 Aug 11;8(8):CD005624. doi: 10.1002/14651858.CD005624.pub4.
5
Classification and treatment of endothermal heat-induced thrombosis: Recommendations from the American Venous Forum and the Society for Vascular Surgery.热原性血栓形成的分类和治疗：美国静脉论坛和血管外科学会的建议。
J Vasc Surg Venous Lymphat Disord. 2021 Jan;9(1):6-22. doi: 10.1016/j.jvsv.2020.06.008. Epub 2020 Oct 1.
6
Three-year results of a randomized controlled trial comparing mechanochemical and thermal ablation in the treatment of insufficient great saphenous veins.比较机械化学消融与热消融治疗大隐静脉不充分的随机对照试验 3 年结果。
J Vasc Surg Venous Lymphat Disord. 2021 May;9(3):652-659. doi: 10.1016/j.jvsv.2020.08.007. Epub 2020 Aug 12.
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Feasibility and technique of endovenous laser ablation (EVLA) of recurrent varicose veins deriving from the sapheno-femoral junction-A case series of 35 consecutive procedures.来源于股隐静脉交界处的复发性静脉曲张的静脉内激光消融术（EVLA）的可行性和技术 - 35 例连续手术的病例系列。
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Eur J Vasc Endovasc Surg. 2019 Sep;58(3):401-408. doi: 10.1016/j.ejvs.2019.01.033. Epub 2019 Jul 24.
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