超声精准定位下交通静脉注射泡沫硬化剂治疗静脉性溃疡的临床疗效  

Clinical effect of ultrasound-guided perforating veins foam sclerotherapy on venous ulcer

作　　者：徐惠飞 戴树龙 马海青 朱越锋[2] XU Huifei;DAI Shulong;MA Haiqing(Department of General Surgery,Deqing County People’s Hospital,Huzhou 313200,China.)

机构地区：[1]德清县人民医院普外科,浙江德清313200 [2]浙江大学医学院附属邵逸夫医院血管外科

出　　处：《全科医学临床与教育》2020年第4期311-313,共3页Clinical Education of General Practice

基　　金：浙江省医学会临床科研基金项目(2018ZYC-A82);德清县县级科技计划项目( 2017SK07)。

摘　　要：目的探讨超声引导下交通静脉注射泡沫硬化剂治疗静脉性溃疡的临床疗效。方法回顾性分析2016~2019年收治的下肢静脉性溃疡患者临床资料,所有患者均于超声下明确诊断,处理完主干病变后于超声引导下给予交通静脉注射泡沫硬化剂治疗。结果 40例患者41条患肢均存在交通支病变,全部患者均顺利完成手术;术后1例再通,再次注射硬化剂后溃疡顺利愈合;均未出现严重并发症。结论超声引导下交通静脉注射泡沫硬化剂治疗静脉性溃疡安全有效,具有较高的临床价值。Objective To evaluate the effect of ultrasound-guided perforating veins foam sclerotherapy on venous ulcer. Methods The data of patients with venous leg ulcer from 2016 to 2019 were analyzed retrospectively.All patients were diagnosed by Doppler scanning,and received ultrasound-guided perforating veins foam sclerotherapy on venous ulcer. Results A total of 40 patients(41 limbs)were found perforating veins diseased,and all completed the operation successfully.A case of insufficient perforator recanalization was found,which was cured after second perforating veins foam sclerotherapy.Serious complications was not found. Conclusion Ultrasound-guided perforating veins foam sclerotherapy is a safe and effective treatment for venous leg ulcer,which has a high clinical value.

关 键 词：超声检查 泡沫硬化剂疗法 交通静脉 静脉性溃疡 

分 类 号：R654.4[医药卫生—外科学]