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射频联合泡沫硬化剂治疗下肢静脉曲张溃疡的临床疗效研究
刘振斌,王刚,李梦虎,李艳芳
天津中医药大学第一附属医院疮疡及周围血管病科天津300193
摘要:
目的:探讨射频联合泡沫硬化剂治疗下肢静脉曲张溃疡的临床疗效。方法:选取我院2017 年3 月—2018 年6 月收治的42 例下肢静脉曲张溃疡患者,应用射频联合泡沫硬化剂治疗,分析其治疗效果。结果:42 例患者均成功手术,患者术后3、12 个月的静脉临床严重程度评分(VCSS) 均明显低于术前,差异有统计学意义(P <0.05);患者创面完全愈合,愈合时间19~55 d,平均(36±9.27) d。随访12 个月仅1 例复发。结论:射频联合泡沫硬化剂治疗下肢静脉曲张溃疡安全有效。
关键词:  静脉曲张溃疡  射频  泡沫硬化剂
DOI:10.3969/j.issn.1007-6948.2020.05.031
投稿时间:2019-11-04
基金项目:
Effectiveness of Radio-frequency Ablation Combined with Sclerosing Foam in Treatment of Varicose Ulcer of Lower Extremity
LIU Zhen-bin,WANG Gang,LI Meng-hu
Department of Ulcer and Vascular Surgery, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
Abstract:
Objective To evaluate the efficacy of radiofrequency ablation combined with foam sclerotherapy in treatment of varicose ulcer of lower extremity. Methods Retrospective analysis 42 cases of patients with varicose ulcer of lower extremity in our hospital from March 2017 to June 2018 who were treated with radiofrequency ablation combined with sclerosing foam. Results 42 patients were operated successfully.The VCSS scores in three months and 12 months after surgery were significantly reduced, which the difference was statistically significant (P <0.05). 42 patients had lower limb ulcer healing, and the average healing time was (36±9.27) days, which from 19 to 55 days. After a 12-month follow -up, only1 patient' s ulcer recurred.Conclusion Radiofrequency ablation combined with sclerosing foam is effective and safe for the treatment of venous ulcers of lower extremity.
Key words:  Varicose ulcer  radiofrequency  sclerosing foam

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