文章摘要
王建军,余涛,袁克芳,等.X线下经皮高位结扎联合氰基丙烯酸酯栓塞治疗大隐静脉曲张 35例[J].安徽医药,2020,24(3):456-458.
X线下经皮高位结扎联合氰基丙烯酸酯栓塞治疗大隐静脉曲张 35例
Percutaneous high ligation combined with transcatheter cyanoacrylate embolization in the treatment of 35 cases of great saphenous insufficiency under X?ray
  
DOI:10.3969/j.issn.1009?6469.2020.03.009
中文关键词: 静脉曲张  栓塞,治疗性  结扎术  导管插入术,外周  外科缝合器  放射学,介入性  大隐静脉  氰基丙烯酸酯
英文关键词: Varicose veins  Embolization,therapeutic  Ligation  Catheterization,peripheral  Surgical staplers  Radiology, interventional  Great saphenous vein  Cyanoacrylate
基金项目:河北省省级科技计划项目( 152777113)
作者单位
王建军 河北中石油中心医院 心血管外科河北 廊坊 065000 
余涛 河北中石油中心医院手术室河北 廊坊 065000 
袁克芳 河北中石油中心医院 心血管外科河北 廊坊 065000 
裴晓东 河北中石油中心医院 心血管外科河北 廊坊 065000 
焦亚彬 河北中石油中心医院 心血管外科河北 廊坊 065000 
曲杨 河北中石油中心医院 心血管外科河北 廊坊 065000 
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中文摘要:
      目的探讨在X线下应用双尖缝合针经皮高位结扎联合氰基丙烯酸酯栓塞治疗大隐静脉功能不全的安全性及可行性。方法选择 2016年 6月至 2018年 4月河北中石油中心医院 35例( 49条病肢)大隐静脉功能不全的病人,在病人平卧于数字减影血管造影( DSA)监视下使用双尖缝合针经皮高位结扎隐股静脉连接处的大隐静脉,将线结置于皮下,其余的大隐静脉主干、曲张的属支利用氰基丙烯酸酯经腔内栓塞。对临床资料进行回顾性分析。结果随访 6个月静脉曲张无一例复发再通。结论在X线下应用双尖缝合针对大隐静脉进行经皮高位结扎及对大隐静脉的主干与属支栓塞胶粘治疗的方法安全可靠、疗效确切、微创美容,值得推广。
英文摘要:
      Objective To evaluate the safety and feasibility of percutaneous high ligation with double?tipped needle combined withtranscatheter cyanoacrylate embolization for great saphenous insufficiency under X?ray.Methods From June 2016 to April 2018, 35 cases(49 affected limbs)with great saphenous insufficiency in Hebei Petro China Central Hospital were chosen,the operatedmodus of percutaneous high ligation of saphenofemoral junction with double?tipped needle under X?ray were adopted and the knotswere put in subcutaneous site,the rest long saphenous were transcatheter embolized by cyanoacrylate,and other varicose veins were occluded by intravenous cyanoacrylate.The clinical data were retrospectively analyzed.Results During the follow?up of 6 months, no patient recurred.Conclusion The operating therapy of percutaneous high ligation with double?tipped needle combined withtranscatheter cyanoacrylate embolizatiom under X?ray is safe,reliable and aesthetic,which is worthy of being generalized.
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