论文部分内容阅读
目的:探究透视引导下经浅表静脉注入聚多卡醇泡沫硬化剂治疗C5~C6期下肢静脉性溃疡的疗效。方法:选取2014年9月—2015年8月在广州市番禺中心医院诊治的下肢静脉曲张达C5~C6期患者51例,共64条患肢,按国际静脉联盟分级(CEAP)标准进行评级,C6期患肢28条;C5期患肢36条。应用不同浓度聚多卡醇进行硬化治疗。于术后2周、3个月、6个月对患者进行门诊随访,评价患者疗效、症状改善及不良反应发生情况。结果:64条患肢均注射成功,平均每条患肢泡沫硬化剂用量(16.35±1.36)ml。术后2周、3个月和6个月随访中,C6期(28条)患肢溃疡逐渐愈合,C5期(36条)患肢溃疡周围皮肤张力下降,所有患者症状有不同程度改善,色素沉着明显减轻。结论:透视引导下聚多卡醇泡沫硬化剂治疗C5~C6期下肢静脉曲张安全,疗效可靠,无严重并发症。
Objective: To investigate the curative effect of fluoroscopic scintigraphy-guided superficial venous injection of polocate foam sclerotherapy on C5 ~ C6 venous leg ulcers. Methods: From September 2014 to August 2015, 51 patients with C5 ~ C6 varicose veins diagnosed and treated in Panyu Central Hospital of Guangzhou City were enrolled. A total of 64 limbs were selected according to the International Union of Veins Classification (CEAP) C6 period limb 28; C5 stage limb 36. Application of different concentrations of polidocanol for sclerotherapy. Patients were followed up at 2 weeks, 3 months and 6 months after surgery to evaluate their efficacy, symptoms and adverse reactions. Results: All the 64 limbs were successfully injected. The average amount of foam sclerosing agent per limb was (16.35 ± 1.36) ml. At 2 weeks, 3 months and 6 months follow-up, the skin ulcers in C6 stage (28) gradually healed, and the skin tension around the ulcer in C5 stage (36 legs) decreased. The symptoms of all patients were improved to some extent. Calm significantly reduced. Conclusion: Under the guidance of fluoroscopic sclerotherapy, poly-C-C foam sclerotherapy for C5 ~ C6 lower extremity varicose veins is safe, reliable and without serious complications.