下肢静脉曲张泡沫硬化剂治疗的超声引导与疗效评价

The effect of ultrasound-guided foam sclerotherapy on phlebectasis of lower extremities

目的：评价超声引导下泡沫硬化剂治疗下肢静脉曲张的临床疗效。方法将本院2014年2月～2015年6月收治的下肢静脉曲张患者110例分为对照组和观察组，对照组（38例）行常规高位结扎手术治疗，观察组（72例）行超声引导的泡沫硬化剂治疗，观察记录两组患者的临床疗效，评价其伤口愈合率、并发症发生率以及术后复发率。结果观察组患者治疗成功59例（81．94％）显著高于对照组治疗成功27例（71．05％）；对照组和观察组治愈率均为100％，而观察组的并发症发生率、术后恢复率明显低于对照组，差异显著具有统计学意义（P ＜0．05）。结论超声引导下泡沫硬化剂治疗下肢静脉曲张，具有创伤小、痛苦少、安全、有效且可重复等一系列优点，能够提高治愈率、降低并发症发生率和术后恢复率，是一种较为有效的微创疗法，值得临床上广泛使用。

Objective To evaluate the effect of ultrasound‐guided foam sclerotherapy on phlebectasis of lower extremities .Methods 110 cases phlebectasis of lower extremities ,which were treated in our hospital from October 2012 to December 2014 ,were selected as the research objectives and divided into two groups ,the control group and the observation group .The conventional high ligation method was used to treat patients （38 cases） in the control group and the ultrasound‐guided foam sclerotherapy was used to treat the patients （72 cases） in the observation group .Compare the patients in two groups about the cure rate ,the incidence of complications and postoperative re‐covery rate .Then evaluate the clinical efficacy of the ultrasound‐guided foam sclerotherapy on phlebectasis of lower extremities .Results 59 cases （81 .94% ） patients were treated successfully in the observation group .It was signifi‐cantly higher than that in the control group ,where 27 cases （71 .05% ） patients were treated successfully .The cure rate of two groups were both 100% .But the incidence of complications and postoperative recovery rate of the obser‐vation group were both obviously lower than that of the control group .The difference was significantly .So it had sta‐tistical significance（P〈 0 .05） .Conclusion There were many advantages of the ultrasound‐guided foam sclerotherapy on phlebectasis of lower extremities .For example ,small trauma ,less pain ,safe ,effective and repeatable ,and so on .It can increase the cure rate ,decrease the incidence of complications and postoperative recovery rate .It is a much more mini‐invasive therapy ,which deserves to be used in clinical widely .