射频消融术在下肢静脉曲张中的运用价值  

The value of radiofrequency ablation for lower limb varicose veins

作　　者：李伟[1] 李威[1] 满文玲 杨坡[1] Li Wei;Li Wei;Man Wenling;Yang Po(Department of Vascular Interventional Surgery,the Fourth Affiliated Hospital of Harbin Medical University,Heilongjiang Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第四医院介入血管外科,黑龙江哈尔滨150000

出　　处：《中华介入放射学电子杂志》2021年第1期85-91,共7页Chinese Journal of Interventional Radiology：electronic edition

基　　金：黑龙江省自然科学基金(面上项目)(H2015090)。

摘　　要：下肢静脉曲张是临床常见病,与多因素发病机制有关,主要与血流动力学异常有关,该病对人们的生活和健康水平造成严重的影响。迄今为止,射频消融术大有取代传统手术之势,成为下肢静脉曲张的常用微创手术治疗方法。该术式主要优势为创伤小、恢复快、疗效可靠、并发症少,主要不足为皮肤烧伤及神经损伤。目前射频消融术多联合局部剥脱术,选择性地联合泡沫硬化剂疗法、透光动力静脉切除术、静脉内微波消融及电凝术。Objective Lower limb varicose veins is a common disease in clinic,which is related to the pathogenesis of multiple factors,mainly including hemodynamic abnormalities,and seriously affects people's life and health.So far,radiofrequency ablation(RFA)is likely to replace traditional surgery as a commonly used minimally invasive surgical treatment for lower limb varicose veins.The main advantages of RFA are small trauma,quick recovery,reliable curative effect and few complications,whereas the main deficiency are skin burn and nerve injury.Currently,radiofrequency ablation is mostly combined with local stripping,selectively combined with foam sclerotherapy,transilluminated powered phlebectomy,endovenous microwave ablation and electrocoagulation.

关 键 词：射频消融 下肢静脉曲张 微创 联合手术 

分 类 号：R543.6[医药卫生—心血管疾病]