下肢静脉曲张患者外科治疗的现代战术

Kaitova Z.S., Rajabzoda R.S., Bytdaev R.R., Kovrizhkina E.L., Kholiqova Sh.O.
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引用次数: 1

摘要

静脉曲张是一种非常常见的疾病。10%-15%的男性和20%-35%的女性都会患上这种疾病,而且往往伴随着患者长期瘫痪和残疾。因此,静脉腔内激光消融疗法(EVLT)取代手术成为静脉曲张的主要治疗方法也就不足为奇了。目前,EVLT 采用波长在 0.45 至 2 λ 范围内的激光辐射。所使用的所有波长都取得了良好的治疗效果。在临床应用中,疼痛程度、并发症和术后愈合率等方面的差异主要是主观因素造成的,因此在选择最有效的方法方面存在争议。作者认为,对 EVLT 过程的解释的演变促进了对这一问题的理解。事实证明,腔内治疗方法既经济又安全,而且可以在门诊局部麻醉下进行。迄今为止,这种技术在血管外科中已相当普及。本文综述了有关下肢静脉曲张的发病率和病理生理学、血管内注射法治疗下肢静脉曲张的成就,并研究了手术矫正静脉曲张的现代方法。我们分析并描述了与静脉腔内技术治疗静脉曲张相关的主要问题。我们对 20 例下肢静脉功能不全患者的病历进行了研究,这些患者均在以 "KB "RZD-Medicine" 命名的 CHU 接受过手术。N.A. Semashko "命名的 CHU "KB "RZD-Medicine "医院对治疗下肢静脉曲张的现代手术方法进行了比较分析。有 18 名患者在单侧下肢进行了手术,2 人在双侧下肢进行了手术。所有患者都接受了血管内激光凝固术(EVLC),并同时进行了微静脉切除术。研究发现了治疗下肢静脉功能不全(EVL)的现代手术方法的缺点和优点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MODERN TACTICS OF SURGICAL TREATMENT OF PATIENTS WITH VARICOSE DISEASE OF THE LOWER EXTREMITIES
Varicose veins are a very popular disease. It is observed in 10–15% of men and 20–35% of women and is often accompanied by long-term incapacity and subsequent disability of the patient. That’s why it’s not surprising that endovenosus laser ablation therapy (EVLT) is replacing surgery as the main treatment for varicose veins. Currently, laser radiation with wavelengths in the λ range from 0.45 to 2 is used for EVLT. A positive treatment result was achieved at all wavelengths that were used. The resulting differences in clinical applications in terms of pain levels, complications, and postoperative healing were rates largely subjective, leading to controversy regarding the choice of the most effective method. This was facilitated by the evolution of interpretations of the processes occurring during EVLT, which, from the authors’ point of view, is useful for their understanding. Endovasal methods have been proven to be cost-effective and safe and can be performed under local anesthesia on an outpatient basis. To date, this technique has become quite widespread in vascular surgery. This paper provides a review of the literature on the prevalence and pathophysiology of varicose veins of the lower extremities, the achievements of endovasal methods of treating varicose veins of the lower extremities, and studied modern methods of surgical correction of varicose veins. We analyzed and described the main issues related to endovenous techniques for obliterating varicose veins. Conducted on 20 case histories of patients with venous insufficiency of the lower extremities, operated on at the CHU “KB “RZD-Medicine” named after. N.A. Semashko” comparative analysis of modern surgical methods for the treatment of varicose veins of the lower extremities. The operation was performed on one lower limb in 18 patients, and on two lower limbs in 2 people. All patients underwent endovasal laser coagulation (EVLC) in combination with miniphlebectomy. The disadvantages and advantages of the modern surgical method of treating venous insufficiency of the lower extremities (EVL) have been identified.
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