中国药物警戒 ›› 2013, Vol. 10 ›› Issue (9): 518-519.

• 基础与临床研究 • 上一篇    下一篇

聚桂醇联合手术及腔内激光治疗下肢静脉曲张的临床观察

孙爱军,田鹏*   

  1. 淮安市第二人民医院,江苏淮安 223002
  • 收稿日期:2013-06-18 修回日期:2016-03-09 出版日期:2013-09-08 发布日期:2016-03-09
  • 通讯作者: 田鹏,男,博士,副主任医师,血管外科及普外科。 E-mail：tianpengpeter@163.com
  • 作者简介:孙爱军,男,在读硕士,住院医师,血管外科及普外科。

Clinical Observation on Lauromacrogol Combined with Surgery and Endovenous Laser Treatment in Therapy of Lower Limb Varicose Veins

SUN Ai-jun ,TIAN Peng   

  1. Department of Vascular Surgery, Huai'an Second Hospital, Jiangsu Huai'an 223002, China
  • Received:2013-06-18 Revised:2016-03-09 Online:2013-09-08 Published:2016-03-09

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摘要： 目的 观察泡沫硬化剂聚桂醇局部注射联合大隐静脉高位结扎及腔内激光闭合术治疗下肢静脉曲张的临床效果。方法 联合应用小切口、泡沫硬化剂聚桂醇局部注射、半导体激光腔内闭合等微创治疗方法治疗下肢静脉曲张患者36 例（共43 条肢体）,结合静脉彩超,观察其治疗效果。结果 39 条肢体迂曲扩张浅静脉全部消失,4 条肢体残留少量曲张静脉,经再次泡沫硬化剂治疗后消失。平均随访8 个月,所有患者下肢酸胀、沉重感消失或明显减轻,无严重并发症发生。结论 聚桂醇作为硬化剂治疗下肢静脉曲张,疗效确切、安全性高、副作用少,与其他微创治疗方法联合应用,提高了下肢静脉曲张的治疗效果,减少了并发症的发生,值得临床推广应用。

关键词: 下肢静脉曲张, 聚桂醇, 泡沫硬化剂, 手术, 激光

Abstract: Objective To investigate the clinical effectiveness of varicose veins using lauromacrogol local injection combined with surgery and endovenous laser treatment. Methods A total of 36 patients including 43 limbs with varicose veins were treated by the therapy as the above, observing the effectiveness with the check of color doppler ultrasound. Results Varicose veins disappeared in 39 limbs, a little remained in4 limbs, and disappeared with foam sclerotherapy again. The average follow-up time was8 months, the symptoms of all the patients were obviously relieved or disappeared, without serious complications. Conclusion Lauromacrogol used as foam sclerotherapy in treatment of vericose veins, has definite effectiveness, high safety and less side-effect. Combination with other minimally invasive therapies can improve the effectiveness of treatment in varicose veins and reduce the complications.

Key words: vericose vein of lower limb, lauromacrogol, foam sclerotherapy, surgery, laser treatment

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