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中华临床医师杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 368 -371. doi: 10.3877/cma.j.issn.1674-0785.2022.04.014

综述

静脉曲张的治疗进展
骆云凯1, 陈剑1,()   
  1. 1. 322000 浙江义乌,浙江大学医学院附属第四医院超声科
  • 收稿日期:2021-09-28 出版日期:2022-04-15
  • 通信作者: 陈剑
  • 基金资助:
    浙江省基础公益研究计划项目(LY20H180013); 浙江省中医药科技计划项目(2018ZT011)

Progress in the treatment of varicose veins

Yunkai Luo1, Jian Chen1,()   

  1. 1. Department of Ultrasound, the Fourth Affiliated Hospital of Zhejiang University Medical College, Yiwu 322000, China
  • Received:2021-09-28 Published:2022-04-15
  • Corresponding author: Jian Chen
引用本文:

骆云凯, 陈剑. 静脉曲张的治疗进展[J/OL]. 中华临床医师杂志(电子版), 2022, 16(04): 368-371.

Yunkai Luo, Jian Chen. Progress in the treatment of varicose veins[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(04): 368-371.

静脉曲张是血管外科常见疾病之一。曲张静脉主要位于下肢,且大隐静脉最常受累,其临床表现为下肢酸胀、灼烧感,久站后出现静脉血栓、腿部溃疡等并发症,严重影响生活质量。保守的治疗方法有压力治疗,改变生活方式,如避免久站立和劳累等。手术方法有传统大隐静脉高位结扎剥脱术、热肿胀消融术、血流动力学校正术(CHIVA)、非热能非肿胀技术(NTNTs),本文就下肢静脉曲张的治疗现状进行总结归纳。

Varicose veins are one of the most common diseases in vascular surgery. Varicose veins are mainly located in the lower limbs, and great saphenous vein is most closely involved. The clinical manifestations were acid distension and burning sensation of lower limbs, complications such as venous thrombosis and leg ulcers often occurred with prolonged standing, which would seriously affect the quality of life. Conservative treatment options include pressure therapy and making lifestyle modifications such as avoidance of prolonged standing and straining. Surgical treatment options include traditional technique of saphenofemoral ligation with vein stripping, thermal-tumescent ablative treatments, hemodynamic correction (CHIVA), non-thermal non-tumescent treatments (NTNTs). Herein, the article sheds light on the treatment of varicose veins of lower limbs.

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