【摘要】 目的探讨用国产鱼肝油酸钠自制泡沫硬化剂治疗下肢静脉曲张的临床效果。方法选择河南开封市第一人民医院30例(39条患肢)下肢静脉曲张患者,对其进行透视引导下曲张隐静脉注射自制鱼肝油酸钠泡沫硬化剂,观察大隐静脉的闭合情况。结果 39条患肢均成功注射泡沫硬化剂,平均每条患肢使用5.9 ml泡沫硬化剂。35条(90%)大隐静脉治疗后即刻可见反流消失,3个月后随访血管超声示大隐静脉闭塞,无严重并发症发生。结论透视引导下自制鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张的临床效果满意,是微创治疗下肢静脉曲张的方法。更多还原

【Abstract】 Objective To evaluate fluoroscopically-guided foam sclerotherapy with injection of domestic sodium morrhuate in treating lower extremity varices.Methods A total of 30 cases(39 diseased lower limbs) with lower extremity varices were enrolled in this study.Under fluoroscopic guidance foam sclerotherapy with injection of domestic sodium morrhuate was carried out in all patients.The obstructed condition of the great saphenous vein was observed during the following three months.Results The technical success was achieved in all 39 patients.The mean dose of foam sclerosant used for each diseased limb was 5.9 ml(3.4-8.2 ml).Disappearance of blood flow reflux in lower extremity vein immediately after the treatment was seen in 35 patients(90%).Three months after the therapy,vascular sonography showed that the great saphenous vein was obstructed,and no serious complications occurred.Conclusion For the treatment of lower extremity varices,fluoroscopically-guided foam sclerotherapy with injection of domestic sodium morrhuate is safe and effective with satisfactory results.This technique is a newly-developed micro-invasive therapy for lower extremity varices.更多还原