泡沫硬化剂治疗下肢穿通静脉功能不全的长期随访结果

摘要

目的 探讨泡沫硬化剂治疗下肢穿通静脉功能不全的经验和长期随访结果.方法 对接受泡沫硬化剂注射治疗的153例(316条病变穿通支)下肢穿通静脉功能不全患者,采用超声随访病变穿通支闭合情况.结果 12例患者(27条病变穿通支)失访.中位随访时间为17个月(11～36个月).获得随访289条病变穿通支中,直径≤3 mm的穿通支闭合率为100％,直径3～5 mm的穿通支闭合率为76％,直径≥5 mm的穿通支闭合率为16％.结论 泡沫硬化剂治疗穿通静脉功能不全的长期疗效取决于病变穿通支的直径,对于直径≤3 mm的病变穿通静脉有效,直径≥5 mm效果不佳.%Objective To evaluate the long-term follow-up results of foam sclerosing agent in the treatment ofincompetent perforating vein.Methods 153 cases (316 incompetent perforating veins)received the treatment of foam sclerotherapy.The closure of perforating branches was followed up by ultrasound.Results 12 cases (27 incompetent perforating veins) were lost to follow up.289 incompetent perforating veins got follow up,The median follow-up time was 17 months (11-36 months).Closure rate was 100％ in vessels less than 3 mm in diameter,while that was 76％ invessels with the diameter between 3-5 mm.Closure rate was 16％ in vessels larger than 5 mm in diameter.Conclusion The long-term efficacy of the foam sclerosing agent in the treatment of incompetent perforating vein depends on the diameter of the vein.