腔内射频消融闭合术治疗下肢浅静脉曲张12例报告

Endovenous radiofrequency obliteration in treatment of superficial varicose veins of the lower extremity

目的 评价静脉腔内射频消融闭合术治疗下肢浅静脉曲张的疗效。方法 对12例原发性大隐静脉曲张病人，共16条患肢的大隐静脉主干均采用数控射频静脉闭合系统（美国，VNUS closure system）治疗，联合电凝术、腔内激光治疗或“点”式抽剥术治疗属支曲张静脉。结果随访1-10．7个月，平均5．9个月，所有患者大隐静脉主干均闭合良好，无复发，近期疗效满意。结论腔内射频消融闭合术（RF）治疗下肢浅静脉曲张，具有术式简便、微创、安全、美观且疗效可靠、康复快、住院时间短等优点。

Objective To evaluate the efficacy of endovenous radiofrequency obliteration for superficial varicse veins of the lower extremity. Methods Twelve cases with 16 limbs were all primary greater saphenous varicose vein（ GSVV）, 7 males and 5 females, all greater saphenous veins were treated by the numerical controlled radio-ve- nous sealing system（ America, VNUS closure system）, combined with electrocoagulation, endovenoas laser treatment and spotstripping treatment of branch varicose veins. Results After 1-10.7 months follow-up, all treated greater saphenous veins were occluded well, no recurrence, and the short-term curative effect was satisfactory. Conclusion Endovenous radiofrequency obliteration is a new therapy with its advantages of easy-operation, minimal invasiveness, safety, satisfactory efficacy, rapid recovery and shorter hospital stay.