病理性穿通静脉电凝术治疗重度慢性下肢静脉功能不全的临床观察  

The role of pathologic perforator venous electrocoagulation in the treatment of severe chronic venous insufficiency in lower extremity

作　　者：王海涛[1] 迟德财[1] 宗亚光 姜维良[1] WANG Haitao;CHI Decai;ZONG Yaguang;JIANG Weiliang(Department of Vascular Surgery,The 2nd affiliated Hospital of Harbin Medical Universtiy,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院血管外科,150086

出　　处：《心肺血管病杂志》2020年第5期594-596,599,共4页Journal of Cardiovascular and Pulmonary Diseases

基　　金：黑龙江省青年科学基金(QC2015126);黑龙江省卫生计生委科研课题(2014-327)。

摘　　要：目的:观察通过电凝法处理下肢病理性穿通静脉对慢性下肢静脉功能不全的治疗效果,评估该方法的有效及安全性。方法:纳入了单纯性下肢静脉曲张患者125例(188条患肢),病理性穿通静脉接受了经皮穿刺套管针电凝术,大隐静脉主干接受射频消融术。观察术后下肢临床表现的恢复程度,以及并发症发生率。结果:术后1周,3个月和6个月时患者的静脉临床严重程度评分(VCSS评分)较术前均有显著下降,尤其表现在溃疡的愈合情况(P<0.05)。未出现例如下肢静脉血栓形成等任何并发症。结论:病理性穿通静脉电凝治疗对促进下肢慢性静脉功能不全导致的皮肤病损和溃疡的愈合安全有效。Objective:To observe the therapeutic effect of electrocoagulation in treating pathological perforator vein in chronic venous insufficiency of lower limbs,and to evaluate the effectiveness and safety of this method.Methods:125 patients(188 limbs)with primary varicose veins of the lower extremities were included.Percutaneous puncture electrocoagulation was performed on pathologic perforator veins and radiofrequency ablation was performed on main trunk of great saphenous vein.To observe the degree of postoperative recovery of clinical manifestations of lower limbs and the incidence of complications.Results:The venous clinical severity score(VCSS score)decreased significantly one week,three months and six months after the operation(P<0.05),especially in the ulcer healing.There were no complications,such as deep venous thrombosis of the lower extremities.Conclusions:Pathologic perforator venous electrocoagulation is safe and effective in promoting the healing of skin lesions and ulcers caused by chronic venous insufficiency in lower limbs.

关 键 词：下肢静脉曲张 穿通静脉 电凝术 下肢静脉功能不全 

分 类 号：R54[医药卫生—心血管疾病]