超声监视引导下行射频闭合术治疗大隐静脉曲张临床观察

Clinical Observation on Radiofrequency Endovenous Obliteration in Treating Great Saphenous Varicose Veins under Ultrasound Monitoring

目的:探讨超声监视引导下行射频闭合术治疗大隐静脉曲张的临床效果及可行性。方法:对大隐静脉曲张患者98例(134条患肢)术前采用彩色多普勒超声进行深静脉功能分级,排除血栓患者,定位标记曲张浅静脉走形,在椎管内麻醉或局部浸润麻醉下行射频闭合手术,术中在彩超监视引导下对小腿曲张团块行点状剥脱、静脉环状缝扎等辅助治疗。结果:98例患者均在超声引导下完成手术治疗,痊愈出院,曲张静脉全部消失,未发生深静脉血栓及肺栓塞等严重并发症,随访6个月无再通、复发。结论:超声监视引导行射频闭合术治疗大隐静脉曲张方法便捷、安全、有目的性,能明显减少手术创口及创面,具微创、美观、并发症少、恢复快、廉价、效果优良等优点。

Objective： To explore clinical effects and the practicability of radiofrequency endovenous obliteration in treating great saphenous varicose veins under ultrasound monitoring. Methods： All 98 patients （134 affected limbs） were classified before the surgery by color Doppler ultrasound according to the functions of deep vein, the patients with thrombosis were removed, the shapes of varicose superficial vein in other patients were fixed and the patients were performed with radiofi＇equency endovenous obliteration under general anesthesia or local infiltration anesthesia, who received adjunctive therapy of punctuate desquamation and vein ringed transfixion on varicose masses under ultrasound monitoring in the surgery. Results： All 98 patients finished the surgery under ultrasound monitoring, cured and discharged, varicose veins were disappeared totally, severe complications such as deep vein thrombosis, pulmonary embolism and others were not found, there was no repatency or relapse in the follow-ups of six months. Conclusion： Radiofrequency endovenous obliteration in treating great saphenous varicose veins under ultrasound monitoring is convenient, safe and with clear purpose, the therapy could notably reduce surgical wound and the surface, which demonstrates the advantages of minimal invasive, beauty, fewer complications, quick recovery, inexpensive, effective and others.