大隐静脉曲张的日间手术技术进展  

Progress of day surgery techniques for varicose great saphenous vein

作　　者：张良 李振华 尹黎[1] 刘震杰[1] Zhang Liang;Li Zhenhua;Yin Li;Liu Zhenjie(Department of Vascular Surgery,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院血管外科,杭州310009

出　　处：《国际外科学杂志》2021年第6期427-432,共6页International Journal of Surgery

基　　金：国家自然科学基金(8167043,81970398)。

摘　　要：大隐静脉曲张是血管外科常见疾病,大量患者的治疗需求及手术技术的进步为积极开展日间手术提供了必要性和可行性。静脉腔内热闭合技术(激光闭合术和射频消融闭合术)及静脉腔内非热、非肿胀麻醉技术有创伤小、恢复快、并发症少的优势,且有效率和复发率情况不亚于结扎剥脱手术。硬化剂闭合术和点式剥脱技术是重要辅助手段。本文就大隐静脉曲张日间手术技术特点和效果进行对比分析。Varicose great saphenous vein is a common disease of vascular surgery.The treatment needs of a large number of patients and the progress of surgical techniques provide the necessity and feasibility for the active implementation of day surgery.Endovenous thermal closure techniques(laser closure and radiofrequency ablation)and non-thermal,non-tumescent techniques have the advantages of less trauma,faster recovery and fewer complications,and the effective rate and recurrence rate are not inferior to ligation and stripping.Sclerotherapy and phlebectomy are important auxiliary techniques.This paper analyzes and compares the technical characteristics and effectiveness of ambulatory surgeries for varicose great saphenous vein.

关 键 词：隐静脉 曲张静脉 日间手术技术 消融技术 

分 类 号：R654.4[医药卫生—外科学]