彩色多普勒超声引导下行大隐静脉曲张射频闭合术的疗效评价

Evaluation of therapeutic effect of radiofrequency closure on the great saphenous varices under the guidance of color Doppler ultrasound

目的:评价彩色多普勒超声引导下行大隐静脉(GSV)曲张射频闭合术的疗效。方法:选取医院就诊的52例(71条患肢)GSV曲张行射频闭合术的患者,所有患者于术前1 d常规行彩色多普勒超声检查,评估静脉血流动力学情况,术后2周、3个月及12个月时行彩色多普勒超声检查,通过观察二维声像图了解患肢术中、术后的静脉血流动力学。结果:52例患者术中GSV完全闭合率为98.59%(70/71),术后2周和术后3个月GSV主干闭合率均为97.18%(69/71),术后12个月后只有1条再通。结论:彩色多普勒超声在GSV曲张射频闭合术中有指导价值,在术后疗效评级以及随访中的应用有重要的临床价值。

Objective:To evaluate the therapeutic effect of radiofrequency closure on the great saphenous varices under the guidance of color Doppler ultrasound.Methods:52 patients(71 affected limbs)who underwent radiofrequency closure on great saphenous varices were selected as the research object.All of patients underwent routinely Color ultrasound examination at preoperative 1 day,and the hemodynamics of vein was assessed.And they underwent color Doppler ultrasound examination at the 2 th week,the 3 th months and the 12 th months post operation.And the pre and postoperative hemodynamics of vein of the affected limb were understood through observed twodimensional sonogram.Results:The closure rate of the trunk of the great saphenous varices of 52 patients reached to 97.18%(69/71)at the 2 th week after the operation.And that reached to 97.18%(69/71)at the 3 th month after operation,and only one was recanalization at the 12 th month after operation.Conclusion:Color Doppler ultrasound has guidance value in the operation of radiofrequency closure of great saphenous varices,and it has important clinical value in the applications of the grading of postoperative efficacy and follow-up.