数字减影血管造影引导下泡沫硬化治疗下肢静脉曲张临床分析  

Clinical analysis of digital subtraction angiography-guided foam sclerotherapy for lower limb varicose veins

作　　者：沈为光 江晓冬 迟庆杰 丁文彬[1] SHEN Weiguang;JIANG Xiaodong;CHI Qingjie;DING Wenbin(Department of Interventional,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu Province 226001,China)

机构地区：[1]南通大学第二附属医院介入科,江苏南通226001

出　　处：《实用放射学杂志》2024年第9期1508-1510,1522,共4页Journal of Practical Radiology

基　　金：南通市卫生健康委员会科研项目(QNZ2022018)。

摘　　要：目的 探讨在数字减影血管造影(DSA)引导下泡沫硬化治疗下肢静脉曲张的临床疗效.方法 回顾性分析在DSA引导下行泡沫硬化治疗下肢静脉曲张患者的相关资料.同时参照临床表现-病因学-解剖学-病理生理学(CEAP)分级及临床症状进行手术前后比较,分析其安全性及有效性.结果 在治疗的278条患肢中,2肢(0.72%)在治疗时有神经并发症,8肢(2.88%)在治疗时有胸闷或咳嗽,7肢(2.52%)治疗后出现血栓性静脉炎,28肢(10.07%)治疗后产生色素沉着,无皮肤坏死、深静脉血栓形成(DVT)、肺栓塞(PE)等严重并发症发生.278条患肢治疗前C1级48条,C2级201条,而治疗后C0级244条,C1级26条,其变化差异有统计学意义(P<0.05).结论 DSA引导下泡沫硬化治疗下肢静脉曲张是一种技术成功率高,安全、有效的微创治疗方法.Objective To investigate the clinical effect of digital subtraction angiography(DSA)-guided foam sclerotherapy on lower limb varicose veins.Methods The relevant data of patients with lower limb varicose veins treated by DSA-guided foam sclerotherapy were analyzed retrospectively.At the same time,the safety and efficacy were compared before and after operation according to clinical etiology anatomy pathophysiology(CEAP)and clinical symptoms.Results Among the 278 affected limbs treated,2(0.72%)had neurological complications during treatment,8(2.88%)had chest tightness or cough during treatment,7(2.52%)had thrombophlebitis after treatment,and 28(10.07%)had hyperpigmentation after treatment.No serious complications such as skin necrosis,deep vein thrombosis(DVT)or pulmonary embolism(PE)occurred.There were 48 cases of grade C1 and 201 cases of grade C2 before treat-ment,while 244 cases of grade C0 and 26 cases of grade C1 after treatment,and the differences were statistically significant(P<0.05).Conclusion DSA-guided foam sclerotherapy on lower limb varicose veins is a safe and effective minimally invasive treatment with high technical success rate.

关 键 词：数字减影血管造影 泡沫硬化治疗 下肢静脉曲张 

分 类 号：R814.43[医药卫生—影像医学与核医学] R815[医药卫生—放射医学] R543.6[医药卫生—临床医学]