中国实用外科杂志

中国实用外科杂志

• 论著 • 上一篇    下一篇

超声引导下泡沫硬化剂治疗下肢表浅静脉畸形25例疗效观察

陈树强a，刘    晖a，蔡方钢b，许    翔a，谢丽君a，曾锦树a，庄    勇a，戴贻权b，叶    真a   

  1. 福建医科大学附属第一医院a.超声科 b.血管外科，福建福州350005
  • 发布日期:2012-11-29

  • Published:2012-11-29

摘要：

目的    探讨超声引导下泡沫硬化剂对下肢表浅静脉畸形的治疗作用。方法    2009-2011年福建医科大学附属第一医院对25例下肢表浅静脉表浅畸形病人在超声引导下注射聚桂醇，观察注射后局部病灶内声像变化并随访观效。结果    25例病人中22例一次性硬化成功，未出现复发，3例病灶较大者经多次聚桂醇注射治疗后未出现再发。结论    泡沫硬化剂注射治疗下肢表浅静脉畸形效果满意，而超声能更精确地引导手术的进行。

关键词: 超声介入治疗, 血管畸形, 硬化剂

Abstract:

Ultrasound-guided foam sclerotherapy for superior venous malformations in lower etremity        CHEN Shu-qiang*，LIU Hui，CAI Fang-gang，et al. * Department of Ultrasonic Medicine, the 1st Affiliated Hospital of Fujian Medical University,Fuzhou 350005, China
Corresponding author: YE Zhen, E-mail: chenyezhen@gmail.com
Abstract    Objective    To explore the application of ultrasound-guided foam sclerotherapy for superior venous malformations in lower etremity. Methods    Inject lauromacrogol under the guidence of ultrasound for 25 patients with venous malformations in lower extremity was performed between 2009 and 2011 in the 1st Affiliated Hospital of Fujian Medical University.The treatment was followed by the observation of ultrasonogram in lesions during operation and follow-up observation of efficacy. Results    Successful results were obtained in 22 patients among the total 25 patients after the fisrst injection instead of recurrence. The equivalent curative effect presents to other 3 patients after repeated injection of lauromacrogol. Conclusion    Lauromacrogol,standing for foam sclerosant,can reach approving effect for superior venous malformations in lower extremity. Accurater guidance method can be accommodated by ultrasound.

Key words: ultrasound ultrasound interventional medicine interventional medicine；vascular malformation, sclerosant