Orbach E J
Int Surg. 1977 Mar;62(3):149-51.
Proponents of surgical eradication of varicose veins claim a high cure rate. Proponents of the conservative methods of multiple injections of sclerosing agents claim that this money-saving ambulatory method avoids hospitalization and loss of working time, that the end results are quite satisfactory and that any recurrences can be easily dealt with by reinjections. Both methods are effective. Both have their indications. Many surgeons use sclerotherapy after surgery as complementary therapy. Radical views recommending surgery or injections exclusively are contrary to the principles of good medical care and do injustice to the patient. A simple venographic technic demonstrating the status of the greater saphenous veins is described.
主张通过手术根除静脉曲张的人声称治愈率很高。主张采用多次注射硬化剂的保守方法的人则称，这种省钱的非住院方法可避免住院和误工，最终结果相当令人满意，而且任何复发情况都可通过再次注射轻松处理。两种方法都有效。两种方法都有其适用症。许多外科医生在手术后将硬化疗法用作辅助治疗。仅推荐手术或注射的极端观点有悖于良好医疗护理的原则，对患者也不公平。本文描述了一种简单的静脉造影技术，可显示大隐静脉的状况。
