DSA引导下泡沫硬化剂治疗下肢静脉曲张性溃疡疗效评估

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Abstract Objective: To explore the clinical effects of DSA-guided foam sclerosing lauromacrogol in the treatment for varicose vein and ulcer of lower extremity. Methods: A retrospective analysis was carried out on 15 patients with varicose vein and ulcer of lower extremity from January 2013 to December 2015, and preoperative anterograde venography was given, to confirm the location and direction of superficial vein below ulcer. Superficial veins around the ulcer were punctured during the operation and foam sclerosing lauromacrogol was injected. Postoperative diseased limb was compressed and stretch socks were changed timely. The patients were followed up for 6 months. Results: All 17 diseased limbs of 15 patients were successfully injected with foam sclerosing agent, and the successful rate of technology was 100%. Each diseased limb was injected with 5.5 mL foam sclerosing agent on average. There were no server complications such as deep vein thrombosis of lower extremity and pulmonary embolism, etc. Patients could do off-bed activities after operation. Seventeen diseased limbs healed in 7 days to 3 months after operation, and 1 case recurred in postoperative 5 months for diseased medial malleolus. Conclusions: DSA guided foam sclerosing lauromacrogol is a minimally-invasive method with high success rate, shorter hospitalization stays and distinct curative effects in the treatment for varicose vein and ulcer of lower extremity.

Key words： Varicose ulcer Lower extremity Angiography, digital subtraction

Received: 26 April 2017

PACS:	Ｒ543.6
	Ｒ814.43

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	Articles by authors
	WANG Jie
	QIAN Shao-gui
	BAI Xiao-guang
	ZHU Zhi-hong

Cite this article:

WANG Jie,QIAN Shao-gui,BAI Xiao-guang, et al. Evaluation of the therapeutic effect of DSA guided foam sclerotherapy in the treatment of#br# varicose veins of lower extremity with ulcer[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(3): 209-211.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I3/209

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