下肢静脉曲张外科治疗方式现状与进展  

Current status and progress of surgical treatment methods for lower limb varicose veins

作　　者：肖卫星 胡陈涛 邝晓鹏 郭娟娟 张岩 朱国献[1] XIAO Weixing;HU Chentao;KUANG Xiaopeng;GUO Juanjuan;ZHANG Yan;ZHU Guoxian(Department of Vascular Surgery,Shenzhen Second People′s Hospital,Shenzhen 518000,China;不详)

机构地区：[1]深圳市第二人民医院血管外科,深圳518000 [2]深圳大学医学部

出　　处：《中国临床保健杂志》2024年第3期314-318,共5页Chinese Journal of Clinical Healthcare

基　　金：中国博士后科学基金项目(2019M663102)。

摘　　要：下肢浅静脉曲张是血管外科的常见病之一,常发生在大隐静脉、小隐静脉及其属支。下肢静脉曲张的治疗包括外科开放手术及腔内微创治疗。传统浅静脉高位结扎剥脱术已有上百年历史,在长期的临床实践中,被认为是治疗下肢静脉曲张经典术式。腔内微创治疗包括激光、射频、微波、泡沫硬化剂、机械化学消融、TriVex微创旋切术、静脉内注射氰基丙烯酸酯胶等。以上治疗方式各有优劣,多种方式联合使用往往效果更好。该文针对下肢静脉曲张常见治疗方式进行综述,为治疗下肢静脉曲张提供依据。Superficial varicose veins of the lower limbs is one of the common diseases in vascular surgery,often occurring in the great saphenous vein,the small saphenous vein and its branches.The treatment of varicose veins of the lower limbs includes open surgery and endovenous minimally invasive treatment.Traditional superficial vein ligation and stripping has a history of more than a hundred years,and is considered to be the classic treatment for varicose veins of the lower limbs in long-term clinical practice.Minimally invasive endovenous treatments include laser,radiofrequency,microwave,foam sclerotherapy,mechanochemical ablation,TriVex minimally invasive rotational dissection,and intravenous injection of cyanoacrylate gel.Each of these procedures has its own advantages and disadvantages,and the combination of multiple modalities is often more effective.This article provides an overview of the common treatment modalities for varicose veins of the lower extremities,to provide a basis for the treatment of lower limb varicose veins.

关 键 词：静脉曲张 下肢 血管外科手术 最小侵入性外科手术 

分 类 号：R654.4[医药卫生—外科学]