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中华介入放射学电子杂志 ›› 2021, Vol. 09 ›› Issue (01) : 85 -91. doi: 10.3877/cma.j.issn.2095-5782.2021.01.015

所属专题: 文献

综述

射频消融术在下肢静脉曲张中的运用价值
李伟1, 李威1, 满文玲1, 杨坡1,()   
  1. 1. 150000 黑龙江哈尔滨,哈尔滨医科大学附属第四医院介入血管外科
  • 收稿日期:2020-09-07 出版日期:2021-02-25
  • 通信作者: 杨坡
  • 基金资助:
    黑龙江省自然科学基金(面上项目)(H2015090)

The value of radiofrequency ablation for lower limb varicose veins

Wei Li1, Wei Li1, Wenling Man1, Po Yang1,()   

  1. 1. Department of Vascular Interventional Surgery, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Harbin 150000, China
  • Received:2020-09-07 Published:2021-02-25
  • Corresponding author: Po Yang
引用本文:

李伟, 李威, 满文玲, 杨坡. 射频消融术在下肢静脉曲张中的运用价值[J]. 中华介入放射学电子杂志, 2021, 09(01): 85-91.

Wei Li, Wei Li, Wenling Man, Po Yang. The value of radiofrequency ablation for lower limb varicose veins[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2021, 09(01): 85-91.

下肢静脉曲张是临床常见病,与多因素发病机制有关,主要与血流动力学异常有关,该病对人们的生活和健康水平造成严重的影响。迄今为止,射频消融术大有取代传统手术之势,成为下肢静脉曲张的常用微创手术治疗方法。该术式主要优势为创伤小、恢复快、疗效可靠、并发症少,主要不足为皮肤烧伤及神经损伤。目前射频消融术多联合局部剥脱术,选择性地联合泡沫硬化剂疗法、透光动力静脉切除术、静脉内微波消融及电凝术。

Objective

Lower limb varicose veins is a common disease in clinic, which is related to the pathogenesis of multiple factors ,mainly including hemodynamic abnormalities,and seriously affects people's life and health.So far, radiofrequency ablation (RFA) is likely to replace traditional surgery as a commonly used minimally invasive surgical treatment for lower limb varicose veins.The main advantages of RFA are small trauma, quick recovery, reliable curative effect and few complications,whereas the main deficiency are skin burn and nerve injury.Currently, radiofrequency ablation is mostly combined with local stripping, selectively combined with foam sclerotherapy,transilluminated powered phlebectomy,endovenous microwave ablation and electrocoagulation.

图1 下肢静脉曲张临床分级
图2 下肢静脉系统图解
图3 Covidien ClosureRFGTMPLUS主机和7 cm标准长度导管ClosureFAS
图4 Olympus CelonLab Precision RF主机(a)和1.5 cm发热长度的Olympus CelonProCurve S1200-15 RF导管(b)
图5 EVRF主机(a),用于大/小隐静脉消融的CR45i导管(b),用于穿通支消融的CR30i导管和20 G针管(c)
表1 全球现主要使用的静脉曲张射频消融装置
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