血管内レーザー焼灼術と硬化療法で行う大伏在静脈瘤の治療について
要約:血管内レーザー焼灼術(endovenous laser ablation; EVLA)後,下腿残存瘤に対して硬化療法を施行した.【方法】大伏在静脈瘤300 肢に対し,EVLA を施行した.術後1カ月後,6 カ月後にカラードプラ検査を行った.術後1 カ月のカラードプラ検査で下腿静脈瘤の径が3 mm 以上で逆流を認めた場合,下腿静脈瘤に対しフォーム硬化療法を施行した.【結果】術後,大伏在静脈本幹が閉塞しなかった症例が4 例あり,GSV 本幹硬化療法を施行した.97 肢(32.3%)に下腿残存瘤の硬化療法を施行した.EVLA のみで治療を終了した症例は199 肢(66.3%)であった.【結論】...
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Published in | 静脈学 Vol. 26; no. 1; pp. 9 - 13 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
日本静脈学会
2015
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Subjects | |
Online Access | Get full text |
ISSN | 0915-7395 2186-5523 |
DOI | 10.7134/phlebol.14-06 |
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Abstract | 要約:血管内レーザー焼灼術(endovenous laser ablation; EVLA)後,下腿残存瘤に対して硬化療法を施行した.【方法】大伏在静脈瘤300 肢に対し,EVLA を施行した.術後1カ月後,6 カ月後にカラードプラ検査を行った.術後1 カ月のカラードプラ検査で下腿静脈瘤の径が3 mm 以上で逆流を認めた場合,下腿静脈瘤に対しフォーム硬化療法を施行した.【結果】術後,大伏在静脈本幹が閉塞しなかった症例が4 例あり,GSV 本幹硬化療法を施行した.97 肢(32.3%)に下腿残存瘤の硬化療法を施行した.EVLA のみで治療を終了した症例は199 肢(66.3%)であった.【結論】EVLA と硬化療法により,低侵襲で美容的に優れた治療ができる. |
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AbstractList | 「要約」 血管内レーザー焼灼術(endovenous laser ablation; EVLA)後, 下腿残存瘤に対して硬化療法を施行した. 【方法】 大伏在静脈瘤300肢に対し, EVLAを施行した. 術後1カ月後, 6カ月後にカラードプラ検査を行った. 術後1カ月のカラードプラ検査で下腿静脈瘤の径が3mm以上で逆流を認めた場合, 下腿静脈瘤に対しフォーム硬化療法を施行した. 【結果】 術後, 大伏在静脈本幹が閉塞しなかった症例が4例あり, GSV本幹硬化療法を施行した. 97肢(32.3%)に下腿残存瘤の硬化療法を施行した. EVLAのみで治療を終了した症例は199肢(66.3%)であった. 【結論】 EVLAと硬化療法により, 低侵襲で美容的に優れた治療ができる. 要約:血管内レーザー焼灼術(endovenous laser ablation; EVLA)後,下腿残存瘤に対して硬化療法を施行した.【方法】大伏在静脈瘤300 肢に対し,EVLA を施行した.術後1カ月後,6 カ月後にカラードプラ検査を行った.術後1 カ月のカラードプラ検査で下腿静脈瘤の径が3 mm 以上で逆流を認めた場合,下腿静脈瘤に対しフォーム硬化療法を施行した.【結果】術後,大伏在静脈本幹が閉塞しなかった症例が4 例あり,GSV 本幹硬化療法を施行した.97 肢(32.3%)に下腿残存瘤の硬化療法を施行した.EVLA のみで治療を終了した症例は199 肢(66.3%)であった.【結論】EVLA と硬化療法により,低侵襲で美容的に優れた治療ができる. |
Author | 佐藤, 彰治 加賀山, 知子 清水, 直子 小松崎, 聡 久米, 博子 寺崎, 宏明 岩井, 武尚 |
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References | 1) Gloviczki P, Comerota AJ, Dalsing MC, et al: The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53: 2S–48S 9) 久米博子,佐藤彰治,藤田聡子,他:大伏在静脈本幹のエコーガイド下フォーム硬化療法の有用性について.静脈学 2012; 23: 1–5 12) Theivacumar NS, Dellagrammaticas D, Darwood RJ, et al: Fate of the great saphenous vein following endovenous laser ablation: does re-canalisation mean recurrence? Eur J Vasc Endovasc Surg 2008; 36: 211–215 7) Monahan DL: Can phlebectomy be deferred in the treatment of varicose veins? J Vasc Surg 2005; 42: 1145–1149 8) Theivacumar NS, Darwood RJ, Dellegrammaticas D, et al: The clinical significance of below-knee great saphenous vein reflux following endovenous laser ablation of above-knee great saphenous vein. Phlebology 2009; 24: 17–20 10) Myers K, Fris R, Jolley D: Treatment of varicose veins by endovenous laser therapy: assessment of results by ultrasound surveillance. Med J Aust 2006; 185: 199–202 3) 日本静脈学会:フォーム硬化療法の手引(第2 回ヨーロッパコンセンサスミーティング2006 翻訳版) 6) Mekako A, Hatfield J, Bryce J, et al: Combined endovenous laser therapy and ambulatory phlebectomy: refinement of a new technique. Eur J Vasc Endovasc Surg 2006; 32: 725–729 11) Kim HS, Paxton BE: Endovenous laser ablation of the great saphenous vein with a 980-nm diode laser in continuous mode: early treatment failures and successful repeat treatments. J Vasc Interv Radiol 2006; 17: 1449–1455 4) Chi YW, Woods TC: Clinical risk factors to predict deep venous thrombosis post-endovenous laser ablation of saphenous veins. Phlebology 2014; 29: 150–153 2) Gloviczki P, Gloviczki ML: Guidelines for the management of varicose veins. Phlebology 2012; 27 (Suppl 1): 2–9 5) Jung IM, Min SI, Heo SC, et al: Combined endovenous laser treatment and ambulatory phlebectomy for the treatment of saphenous vein incompetence. Phlebology 2008; 23: 172–177 |
References_xml | – reference: 1) Gloviczki P, Comerota AJ, Dalsing MC, et al: The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53: 2S–48S – reference: 4) Chi YW, Woods TC: Clinical risk factors to predict deep venous thrombosis post-endovenous laser ablation of saphenous veins. Phlebology 2014; 29: 150–153 – reference: 5) Jung IM, Min SI, Heo SC, et al: Combined endovenous laser treatment and ambulatory phlebectomy for the treatment of saphenous vein incompetence. Phlebology 2008; 23: 172–177 – reference: 8) Theivacumar NS, Darwood RJ, Dellegrammaticas D, et al: The clinical significance of below-knee great saphenous vein reflux following endovenous laser ablation of above-knee great saphenous vein. Phlebology 2009; 24: 17–20 – reference: 11) Kim HS, Paxton BE: Endovenous laser ablation of the great saphenous vein with a 980-nm diode laser in continuous mode: early treatment failures and successful repeat treatments. J Vasc Interv Radiol 2006; 17: 1449–1455 – reference: 3) 日本静脈学会:フォーム硬化療法の手引(第2 回ヨーロッパコンセンサスミーティング2006 翻訳版) – reference: 7) Monahan DL: Can phlebectomy be deferred in the treatment of varicose veins? J Vasc Surg 2005; 42: 1145–1149 – reference: 2) Gloviczki P, Gloviczki ML: Guidelines for the management of varicose veins. Phlebology 2012; 27 (Suppl 1): 2–9 – reference: 10) Myers K, Fris R, Jolley D: Treatment of varicose veins by endovenous laser therapy: assessment of results by ultrasound surveillance. Med J Aust 2006; 185: 199–202 – reference: 6) Mekako A, Hatfield J, Bryce J, et al: Combined endovenous laser therapy and ambulatory phlebectomy: refinement of a new technique. Eur J Vasc Endovasc Surg 2006; 32: 725–729 – reference: 9) 久米博子,佐藤彰治,藤田聡子,他:大伏在静脈本幹のエコーガイド下フォーム硬化療法の有用性について.静脈学 2012; 23: 1–5 – reference: 12) Theivacumar NS, Dellagrammaticas D, Darwood RJ, et al: Fate of the great saphenous vein following endovenous laser ablation: does re-canalisation mean recurrence? Eur J Vasc Endovasc Surg 2008; 36: 211–215 |
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Snippet | 要約:血管内レーザー焼灼術(endovenous laser ablation; EVLA)後,下腿残存瘤に対して硬化療法を施行した.【方法】大伏在静脈瘤300 肢に対し,EVLA を施行した.術後1カ月後,6 カ月後にカラードプラ検査を行った.術後1 カ月のカラードプラ検査で下腿静脈瘤の径が3 mm... 「要約」 血管内レーザー焼灼術(endovenous laser ablation; EVLA)後, 下腿残存瘤に対して硬化療法を施行した. 【方法】 大伏在静脈瘤300肢に対し, EVLAを施行した. 術後1カ月後, 6カ月後にカラードプラ検査を行った.... |
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SubjectTerms | 下肢静脈瘤 血管内レーザー焼灼術 術後硬化療法 |
Title | 血管内レーザー焼灼術と硬化療法で行う大伏在静脈瘤の治療について |
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