CAJ | 학술논문

目的：探讨聚桂醇泡沫硬化剂联合大隐静脉高位结扎治疗大隐静脉曲张的临床效果。方法2010年6月-2012年4月对68例无深静脉瓣膜功能不全的大隐静脉曲张患者，实施大隐静脉高位结扎联合导管引导下大隐静脉主干泡沫硬化剂注射治疗。结果68例均治疗成功，术中、术后无深静脉血栓、肺栓塞等严重并发症发生，5例出现小腿局限的轻度肿胀，6例出现小腿部大隐静脉走行轻微浅静脉炎，经应用抗生素、活血化瘀对症处理3 d症状消失，8例出现色素沉着，逐渐消退。3个月后复诊血管超声示大隐静脉主干闭塞。平均随访6个月，患者患肢活动后酸胀、乏力消失，无复发病例。结论高位结扎联合泡沫硬化剂治疗大隐静脉曲张疗效肯定、安全、微创，操作简单，学习时间短，值得推广应用。
목적：탐토취계순포말경화제연합대은정맥고위결찰치료대은정맥곡장적림상효과。방법2010년6월-2012년4월대68례무심정맥판막공능불전적대은정맥곡장환자，실시대은정맥고위결찰연합도관인도하대은정맥주간포말경화제주사치료。결과68례균치료성공，술중、술후무심정맥혈전、폐전새등엄중병발증발생，5례출현소퇴국한적경도종창，6례출현소퇴부대은정맥주행경미천정맥염，경응용항생소、활혈화어대증처리3 d증상소실，8례출현색소침착，축점소퇴。3개월후복진혈관초성시대은정맥주간폐새。평균수방6개월，환자환지활동후산창、핍력소실，무복발병례。결론고위결찰연합포말경화제치료대은정맥곡장료효긍정、안전、미창，조작간단，학습시간단，치득추엄응용。
Objective To investigate the clinical effect of cinnamyl alcohol poly foam sclerotherapy combined with high ligation of great saphenous vein for treatment of varicose great saphenous vein. Methods A retrospective analysis from June 2010to April 2012 for 68 non valvular incompetence of the deep veins varicose great saphenous vein high ligation of great saphenous vein and limb underwent combined saphenous vein catheter guided foam sclerotherapy. Results 68 cases were successfully treated, intraoperative, postoperative deep vein thrombosis without serious complications, Mild swelling occurred in 5 cases of leg limitations, 6 cases of small saphenous veins were slight superficial phlebitis, the use of antibiotics, blood activating and stasis eliminating symptomatic treatment for 3 days the symptoms disappeared, 8 cases of pigmented calm, gradually subsided. 3 months after follow-up of vascular ultrasound showed saphenous vein occlusion. A mean follow-up of 6 months, limb activity after acid bilges, fatigue disappeared, no recurrence. Conclusion Ligation combined with foam sclerotherapy of varicose great saphenous vein efficacy, safety, minimally invasive, simple operation, short learning curve, it is worthy of popularization and application.