泡沫硬化剂治疗下肢网状静脉扩张

Treatment of reticular phlebectasis of lower extremities with foam sclerosing agent

  • 摘要: 目的 探讨泡沫硬化剂治疗下肢网状静脉曲张的近期疗效。方法 2010年1-9月在我院诊断为网状静脉扩张症的患者26例,女性24例,男性2例,平均年龄37(22-52)岁,44患肢,局部直接注射泡沫硬化剂后弹力袜压迫,72h、7d、30d、3个月病房随访。结果 26例患者平均治疗2.1次,末次注射结束后72h观察网状静脉扩张闭合成功率达100%,术后7d、30d观察治疗效果牢固,无复发病例。术后3个月7例(9患肢)局部复发,复发率20.5%,局部泡沫硬化剂处理后至今未复发。100%的患者临床症状得到不同程度的缓解。结论 泡沫硬化剂治疗网状静脉曲张近期疗效确切。

     

    Abstract: Objective To observe the short-term therapeutic effect of ranibizumab(Lucentis) on senile macular degeneration(MD)complicated by choroidal neovascularization(CNV).Methods A definite diagnosis of exudative senile MD was made in 30 cases by fundus fluorescein angiography(FFA),indocyanine geen angiography(ICGA) and optic coherence tomography(OCT).Exudative senile MD was treated 3 times with Lucentis by cavum vitreum injection at a dose of 0.5mg(0.05ml),once a month.Clinical data were collected 1 week,1 and 3 months before and after treatment.Acuity of vision,intraocular pressue,and findings in FFA,ICGA and OCT were used as parameters of the short-term effect of Lucentis on exudative senile MD.Results The acuity of vision became stable in 19(63.3%)and improved in 11(36.7%) out of the 30 cases 1 month after treatment,and became stable in 16(55.2%) and improved in 13(44.8%) out of the 30 cases 3 months after treatment.The intraocular pressure was elevated over 20mmHg and reached its peak of 23.8mmHg in 4 out of the 30 cases 1h after treatment,and maintained normal for 1 day and 1 month,respectively after treatment.FFA and ICGA showed that the exudates were decreased or resolved at different extents.OCT displayed that retinal edema and serous detachment were significantly improved after treatment,with no obvious adverse effects except for mild localized conjunctival congestion,subconjunctival hemorrhage,small umbra in visual field,and slightly increased intraocular pressure,which could recover in less than 5 days after treatment.Treatment was terminated in 1 case because of cerebral infarction.Conclusion Injection of Lucentis into vitreous cavity is a safe and effective modality for exudative senile MD.

     

/

返回文章
返回