CAJ | 학술논문

目的：探讨DSA下使用聚桂醇泡沫硬化剂治疗下肢静脉曲张的临床效果。方法26例下肢静脉曲张患者(41条下肢),其中1例并发下腔静脉回流障碍,3例并发髂静脉回流障碍,对于4例静脉回流障碍患者先行血管腔内成形术,1d 后采用聚桂醇泡沫硬化剂注射治疗,其余患者直接采用泡沫硬化剂注射治疗；在硬化剂注射方法中,24例采用直接穿刺曲张静脉注射治疗,2例患者采用逆行插管至患肢大隐静脉主干远端注射治疗。结果所有患肢均成功注射泡沫硬化剂于曲张血管内,平均注入5.88 mL 聚桂醇制成的泡沫硬化剂,术中及术后未出现严重并发症。随访1~12个月,硬化治疗的曲张静脉基本消失(92.3%,24/26),少量曲张静脉残留(7.7%,2/26),所有患者治疗后活动酸胀、沉重感消失,色素沉着消退,溃疡愈合。结论 DSA引导下使用聚桂醇泡沫硬化剂治疗各类下肢静脉曲张是一种微创、安全、有效的治疗方法。
목적：탐토DSA하사용취계순포말경화제치료하지정맥곡장적림상효과。방법26례하지정맥곡장환자(41조하지),기중1례병발하강정맥회류장애,3례병발가정맥회류장애,대우4례정맥회류장애환자선행혈관강내성형술,1d 후채용취계순포말경화제주사치료,기여환자직접채용포말경화제주사치료；재경화제주사방법중,24례채용직접천자곡장정맥주사치료,2례환자채용역행삽관지환지대은정맥주간원단주사치료。결과소유환지균성공주사포말경화제우곡장혈관내,평균주입5.88 mL 취계순제성적포말경화제,술중급술후미출현엄중병발증。수방1~12개월,경화치료적곡장정맥기본소실(92.3%,24/26),소량곡장정맥잔류(7.7%,2/26),소유환자치료후활동산창、침중감소실,색소침착소퇴,궤양유합。결론 DSA인도하사용취계순포말경화제치료각류하지정맥곡장시일충미창、안전、유효적치료방법。
Objective To evaluate the clinical effect of DSA-guided foam sclerotherapy for lower extremity varicose veins.Methods A total of 41 legs in 26 patients with lower extremity varicose veins were treated with foam sclerosing agent of lauromacrogol un-der DSA guidance.4 cases with venous return disorder (3 in iliac vein and 1 in inferior vena cava)were treated with balloon dilatation first,and then lauromacrogol foam sclerotherapy after 24 hours.For injection method,2 patients were injected sclerosing agent through a catheter inserted in the trunk of great saphenous vein of sick limb with retrograde catheterization,and the others were in-j ected sclerosing agent directly in the varicose veins.Results The sclerotherapy was successfully accomplished in all affected limbs of 26 patients.The average dose of lauromacrogol for each patient was 5.88 mL.No serious complications occurred during and after operation.In 1 to 12-month follow-up,varicose veins disappeared in 24 patients (92.3%),the soreness,fatigue and pigmentations disappeared in all patients,the ulcer healed in all limbs.Conclusion DSA-guided foam sclerotherapy is a micro-invasive,safe and ef-fective treatment for lower extremity varicose veins.