超声引导下肿胀麻醉液辅助腔内激光治疗下肢静脉曲张  

Ultrasound-guided endovascular laser therapy assisted by tumescent anesthetic solution in treating varicose veins in lower extremities

作　　者：高应鸿[1] 张面焕 GAO Yinghong;ZHANG Mianhuan(the First Hospital of PLA,Lanzhou 730030,China)

机构地区：[1]解放军第一医院,甘肃兰州730030

出　　处：《中国医学物理学杂志》2020年第8期1045-1046,共2页Chinese Journal of Medical Physics

摘　　要：目的:探讨超声引导下肿胀麻醉液辅助腔内激光治疗下肢静脉曲张的临床效果。方法:回顾性分析23例采用超声引导下肿胀麻醉液辅助腔内激光治疗下肢静脉曲张患者的临床资料,观察患者术中、术后疼痛情况,出院后随访下肢浅静脉曲张临床症状、体征变化,色素沉着、湿疹、溃疡等皮肤改变情况。结果和结论:23例患者术中VAS评分2~5分,平均2.8分,术后6 h VAS评分1~4分,平均1.3分。23例患者均在术后2 h内下床活动,术后1~2 d出院,术后3~6月内有19例患者得到随访,被随访患者下肢浅静脉曲张临床症状、体征均消失,色素沉着、湿疹、溃疡等皮肤改变者均不同程度减轻,其中9例患者彩超检查均未见静脉再通及复发。Objective To investigate the clinical effect of endovascular laser therapy which is guided by ultrasound and is assisted by tumescent anesthetic solution in the treatment of varicose veins in lower extremities.Methods The clinical data of 23 patients with varicose veins in lower extremities treated with ultrasound-guided and tumescent anesthetic solution-assisted endovascular laser therapy were analyzed retrospectively.The intraoperative and postoperative pain was evaluated.After discharge,the changes in the clinical symptoms and signs of superficial varicose veins in lower extremities,and the remission of skin lesions such as pigmentation,eczema and ulcer were also analyzed.Results and conclusion The intraoperative VAS scores of 23 patients were 2-5 points(mean 2.8 points),and the VAS scores were 1-4 points(mean 1.3 points)at 6 hours after the operation.Twenty-three patients could get out of bed at 2 hours after operation and were discharged on 1-2 d pos-toperatively.The postoperative 3-6 months follow-up showed that the clinical symptoms and signs of superficial varicose veins in lower extremities were disappear in 19 patients,and the skin lesions such as pigmentation,eczema and ulcers were alleviated to varying degrees,and that among the 19 patients,9 patients had no venous recanalization and recurrence in color Doppler ultrasound examination.

关 键 词：超声引导 肿胀麻醉液 腔内激光 下肢静脉曲张 

分 类 号：R318.51[医药卫生—生物医学工程] R543.6[医药卫生—基础医学]