非单纯大隐静脉功能不全的原发性下肢静脉曲张患者射频闭合联合硬化治疗术

doi:10.12117/jccmi.2020.08.005

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Abstract Objective: To explore the characteristics and treatment of varicose veins of the lower extremities caused by other superficial or great saphenous venous regurgitation combined with other venous regurgitation, except for the valve insufficiency of the great saphenous vein. Materials and Methods: From May 2018 to May 2019, 61 cases(63 limbs) of primary varicose veins of lower extremities caused by non simple saphenous vein valve dysfunction were treated by ultrasound-guided endovenous radiofrequency obliteration combined with varicose vein local exfoliation and sclerotherapy. There were 42 males and 19 females, aged 23~78 years, the average age was (55.9±13.2) years. The types, diameters and CEAP grades of reflux veins were analyzed. The great saphenous vein, small saphenous vein, anterior accessory saphenous vein and pathological perforator vein were all treated with radiofrequency. The superficial varicose veins were treated with foam sclerotherapy. Exfoliation of local varicose vein was performed. After the operation, the patients wore the medical sequential decompression elastic socks. Results: In this group, there were 10 types of varicose veins in the lower extremities caused by the non simple valve insufficiency of the great saphenous vein. The proportion of severe varicose veins(C4~C6) was 34/63, 54.0% in the limbs with non simple great saphenous valve insufficiency. The highest incidence of severe varicose veins was 81.8%(27/33). The success rate of operation was 100%. Forty-four cases were followed up in 61 patients, with a follow-up rate of 72.1%. There were 15 limbs with varicose veins disappearance and 24 limbs with clinical grade degradation in 44 limbs. The effective rate was 88.6%. Conclusion: It is necessary to master the hemodynamics of the superficial veins of the lower extremities in the preoperative diagnosis of the patients with primary varicose veins of the lower extremities. Endovenous radiofrequency obliteration combined with sclerotherapy is a minimally invasive, safe and effective method for the treatment of primary varicose veins of the lower extremities caused by non simple great saphenous vein dysfunction.

Key words： Varicose veins Catheter ablation Sclerotherapy Ultrasonography, interventional

Received: 08 June 2020

PACS:	Ｒ543.6
	Ｒ445.1

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	Articles by authors
	FENG Qi-chen
	LI Xuan
	WANG Chang-ming
	GAI Shuo

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FENG Qi-chen,LI Xuan,WANG Chang-ming, et al. Endovenous radiofrequency obliteration combined with sclerotherapy in patients with primary varicose veins of the lower extremity caused by non-simple great saphenous vein valve dysfunction[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(8): 546-550.

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http://www.jccmi.com.cn/EN/10.12117/jccmi.2020.08.005 OR http://www.jccmi.com.cn/EN/Y2020/V31/I8/546

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