超声引导下行静脉腔内激光治疗KTS的回顾性分析  

Effect of Ultrasound-guided EVLA in the Treatment of Klippel-Trenaunay syndrome(KTS):A Retrospective Study

作　　者：赵海光[1] 刘晓兵[1] 施慧华[1] 杨心蕊[1] 陆信武[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院血管外科,上海市200011

出　　处：《组织工程与重建外科杂志》2015年第3期189-192,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的 探讨静脉畸形骨肥大综合征（Klippel-Trenaunay syndrome,KTS）患者在超声引导下行腔内激光的治疗效果。方法 对2007年3月至2010年12月间收治的行腔内激光治疗的47例KTS患者行回顾性分析,随访0,5~5年。结果 47例患者经表浅曲张静脉及KT静脉EVLA治疗及结扎后,2周随访时未检测到血流;6个月时.45例静脉（95%）仍然封闭,2例局部曲张静脉复发;在1年及之后的随访中,另有9例患者检测到局部复发的曲张静脉,其他患者的浅表曲张静脉和KT静脉完全消失或仅存在微小的残留纤维组织,其中没有检测到血流。大多数经治疗的静脉段成为纤维条索,难以辨识。短期效果满意,患者均无任何严重不良反应。结论 超声引导下行腔内激光治疗KTS患者的曲张静脉和畸形静脉,是一种安全简单且有效的方法。Objective To explore the effect of ultrasound-guided EVLA in the treatment of Klippel-Trenaunay syndrome （KTS）. Methods A retrospective analysis were made for 47 KTS patients treated with EVLA from March 2007 to December 2010, and they were followed up for 0.5-5 years. Results After the EVLA and ligation treatment of varicose veins and KT veins for 2 weeks, blood flrw was not detected. After 6 months of treatment, blood flow of 45 cases （95%） was still closed. Local recurrence of varicose veins was observed in 2 cases. And after 1 year and later, local recurrence of varicose veins was observed in 9 cases. The superficial varicose veins and KT veins of other patients disappeared completely or only minor fibrous tissue was left, in which blood flow was not detected. Most of the treated veins became fibrous cords, and were hard to identify. No serious adverse reaction was observed. Conclusion Ultrasound-guided EVLA is a safe, simple and effective method for the treatment of varicose veins and KT veins in KTS patients.

关 键 词：静脉畸形骨肥大综合征 超声 激光治疗 

分 类 号：R616.4[医药卫生—外科学]