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下肢浅静脉曲张诊治微循环专家共识 被引量:63

Microcirculation expert consensus on diagnosis and treatment of varicoseveins of lower extremities
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摘要 下肢浅静脉曲张是一种由多种不同病因引起的共同临床表现,以大隐静脉曲张最多见,既是一种临床表现,也是一种疾病。一定程度影响患者的生活质量,后期会使部分患者丧失部分劳动能力,消耗大量医疗资源。国外文献报道大隐静脉曲张患病率高达25%[1],国内文献报道其成年人患病率10%左右,男女患病率接近,女性略高[2]。本病早期表现为肢体酸胀不适、浅静脉迂曲成团,随着病情的进展可出现皮肤瘙痒、色素沉着、脱屑、脂质硬化甚至溃疡、以及出血及血栓性浅静脉炎[3]。
出处 《中华老年多器官疾病杂志》 2020年第1期1-6,共6页 Chinese Journal of Multiple Organ Diseases in the Elderly
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  • 1Proebstle riM, Gul D, Lehr HA, et al.Infrequent early recanalization of greater saphenous vein after endovenous laser treatment [J].J Vase Surg, 2003, 38(3):511-516.
  • 2Porter JM. Moneta GL.Reporting standards in venous disease:an update.International Consessus Committee on Chronic Venous Disease[J].J Vasc Surg,1995,21(4):635—645.
  • 3Callam MJ.Epidemiology of varicose veins[J].Br J Surg,1994,81(2):167—173.
  • 4McMullin GM, Smith PD, Scurr JH. Objective assessment of high ligation without stripping the long saphenous vein [J].Br J Surg ,1991,78(9):1139-1142.
  • 5Navarro L Min RLBone C.Endovenous laser :a new minimally invasive method of treatment for varicose veinspreliminary observation using an 810 nm diode laser [J].Dermatol Surg, 2001;27(2):117-122 .
  • 6Min R J, Khilnani N, Zimmet SE.Endovenous laser treatment of saphenous vein reflux:long-term results [J].J Vasc Interv Radiol, 2003,14(8):991-996.
  • 7Perkowski P, Ravi R, Gowda RC, et al.Endovenous laserablation of the saphenous vein for treatment of venous insufficiency and varicose veins: early results from a large single-center experience [J]. J Endovasc Ther,2004, 11(2): 132-138.
  • 8Harris EJ.SEndovascular obliteration of saphenous vein reflux:A perspective[J].J Vasc Surg,2002,35(6):2192 -2194.
  • 9Weiss RA,Weiss MA.Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux:A 2-Year follow-up[J].Dermatol Surg,2002,28(1):38 -42.
  • 10Min RJ,Zimmet SE,Isaacs MN,et al.Endovenous laser treatment of the incompetent greater saphenous vein[J].J Vasc Interv Radiol,2001,12(10):1167-1171.

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