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目的探讨X线导向下使用聚桂醇泡沫硬化剂治疗下肢静脉曲张的临床应用价值。方法在X线监控下,21例患者共计27条下肢曲张静脉采用聚桂醇泡沫硬化剂注射治疗,全部患者采用留置针经皮穿刺曲张静脉注入泡沫硬化剂,2例患者采用逆行插管至患肢大隐静脉主干内注入泡沫硬化剂,术后先辅以弹力绷带包扎,后改穿弹力袜。结果所有患肢均成功注射泡沫硬化剂于曲张血管内,每条肢体平均使用3.7个经皮穿刺点、平均注入18.3 ml泡沫硬化剂(聚桂醇/空气为1∶4)。平均住院时间3.9 d。随访1～9个月,硬化治疗的曲张静脉消失96.3%(26/27),活动后酸胀、沉重感消失。造影复查显示硬化治疗的曲张浅静脉完全闭塞88.9%(24/27),血管变细11.1%(3/27),未出现严重并发症。结论 X线导向下聚桂醇泡沫硬化治疗下肢静脉曲张具有创伤小、恢复快、操作简单、费用低的特点,是一种安全有效的治疗下肢静脉曲张的方法。
Objective To evaluate the clinical value of laurel varicose veins using lauromacrogol sclerosing agent under X-ray guidance. Methods In X-ray monitoring, a total of 27 patients with varicose veins of lower extremities were treated with laurel injection of sclerosing agent. All patients were treated with percutaneous puncture of foam sclerotherapy with indwelling needle. Two patients were treated with retrograde intubation Limbs saphenous vein injection of foam sclerotherapy, after surgery supplemented by elastic bandage, after the change to wear elastic stockings. Results All limbs were successfully injected with foam sclerotherapy in varicose veins, with an average of 3.7 percutaneous puncture points per limb with an average of 18.3 ml of foam hardener (lauromacrogol / air 1: 4). The average hospital stay was 3.9 days. Follow-up 1 to 9 months, sclerotherapy of varicose veins disappeared 96.3% (26/27), sour after activity, a sense of heavy disappeared. Radiographic review showed that the superficial varicose veins of the sclerotic patients were completely occluded by 88.9% (24/27) and the vessels were thinner by 11.1% (3/27). No serious complications occurred. Conclusion X-ray guided lauromacyl alcohol sclerotherapy is a safe and effective method for the treatment of varicose veins of lower extremity varicose veins with less trauma, faster recovery, simple operation and lower cost.