8年的结果与静脉曲张患者接受静脉内闭塞使用氰基丙烯酸酯正丁酯。

Alptekin Yasim, Erdinc Eroglu, Mehmet Acipayam, Murat Ari
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引用次数: 0

摘要

目的:回顾我院2014年应用氰基丙烯酸酯正丁酯进行静脉内闭塞术的180例患者8年来的治疗结果。方法:我们之前发表了168例可随访患者的30个月结果。在8年的研究期间,又有13名患者失去了随访。其余155例患者行临床检查,记录静脉临床严重程度评分(VCSS)。行多普勒超声检查,评估隐静脉是否闭塞,是否存在部分或完全再通。结果:155例患者的平均年龄为47.4±11.8岁。68名患者为男性,87名患者为女性。术前VCSS平均评分为10.2,30个月时为2.7,8年时为2.6±0.7。在8年中,7例患者观察到完全再通,6例患者观察到部分再通。30个月时闭塞率94.1%,8年时闭塞率91.7%。结论:长期应用氰基丙烯酸丁酯治疗静脉曲张患者,消融率高,效果令人满意。
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Eight year results of patients with varicose vein underwent endovenous occlusion using n-butyl cyanoacrylate.

Objective: To present the 8-year results of 180 patients on whom we performed endovenous occlusion using N-butyl cyanoacrylate in 2014.

Methods: We have previously published the 30-month results for 168 patients available for follow-up. Thirteen more patients were lost to follow-up in the 8-year research period. The remaining 155 patients underwent clinical examinations and their Venous Clinical Severity Score (VCSS) values were recorded. Doppler ultrasonography was performed, and whether the saphenous vein was occluded, or whether partial or complete recanalization were present was evaluated.

Results: The mean age of the 155 patients we were able to follow-up was 47.4 ± 11.8 years. Sixty-eight of the patients were men, and 87 were women. Mean VCSS scores were 10.2 before the procedure, 2.7 at 30 months, and 2.6 ± 0.7 at 8 years. Complete recanalization was observed in seven patients over the 8 years, and partial recanalization in six. Occlusion rates were 94.1% at 30 months and 91.7% at 8 years.

Conclusion: The long-term results of the use of N-butyl cyanoacrylate in the treatment of patients with varices are highly satisfying in terms of a high ablation rate.

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