腔内热消融术后大隐静脉曲张复发临床分析  

Clinical Analysis of Recurrence of the Great Saphenous Varicose Vein After Endovenous Ablation Treatment

作　　者：杨轲 王雅[1] 吕忠俊 李伟杰[1] Yang Ke;Wang Ya;LüZhongjun(Department of Vascular Surgery,Nanyang Hospital Affiliated of Zhengzhou University,Nanyang,Henan,473000,China)

机构地区：[1]郑州大学附属南阳医院·南阳市中心医院血管外科,河南南阳473000

出　　处：《黑龙江医学》2024年第23期2860-2862,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨腔内热消融术治疗大隐静脉曲张复发原因,以期为减少复发率提供依据。方法:回顾性分析2018年1月—2020年10月于样本医院行腔内热消融手术的183例大隐静脉曲张患者的临床资料,分析曲张复发原因和类型。结果:183例患者接受临床和超声评估,平均随访时间(26.0±3.4)个月。依据超声探查结果,复发原因可分为血管再通、再血管化、疾病进展、手术策略及技术性失误。结论:血管再通和疾病进展是腔内热消融治疗大隐静脉曲张后复发重要原因,术前完善的超声检查和正确的手术策略,术中规范的操作能减少曲张复发产生。Objective:To investigate the possible causes of recurrence reflux for the great saphenous varicose veins after endovenous thermal ablation,so as to provide reference for reduction of recurrence rate.Methods:The clinical data of 183 patients with varicose great saphenous vein who underwent endovascular thermal ablation in sample hospitals from January 2018 to October 2020 were retrospectively analyzed,and the causes and types of varicose recurrence were analyzed.Results:183 patients underwent clinical and ultrasound evaluation and were followed up for a mean of(26.0±3.4)months.According to the results of ultrasonic exploration,the causes of recurrence can be divided into vascular recanalization,revascularization,disease progression,surgical strategy and technical error.Conclusion:Vascular recanalization and disease progression are important causes of recurrence after endovascular thermal ablation for varicose great saphenous vein.Perfect preoperative ultrasonography,correct surgical strategy and standard intraoperative operation can reduce recurrence of varicose.

关 键 词：下肢静脉曲张 腔内热消融 曲张复发 

分 类 号：R654.3[医药卫生—外科学]