在患有埃勒斯-丹洛斯综合征的患者中使用内膜激光切除 (1940 nm) 的干预性静脉治疗:两个病例报告

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Dennis Braß¹, Iliana Tantcheva-Poór², Markus Stücker¹

¹Department of Dermatology, Venereology and Allergology, Center for Vein Treatment at the Section of Dermatology and Vascular Surgery, Catholic Hospital Bochum gGmbH, Bochum.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG

|September 19, 2025

概括

内膜激光切除为治疗埃勒斯-丹洛斯综合征患者慢性静脉功能不全提供了一个安全的替代方案,最大限度地降低了手术期间与血管脆弱性相关的风险.

科学领域:

血管外科血管外科
遗传学遗传学是一个
医疗器械医疗器械

背景情况:

埃勒斯-丹洛斯综合征 (EDS) 在治疗慢性静脉功能不全 (CVI) 方面存在挑战,原因是固有的血管脆弱性.
在EDS患者中,CVI的开放性手术程序具有严重并发症的高风险,如血管撕裂和困难的血液静止.
在EDS中血管脆弱性因亚型而异,但在所有形式中都是令人担忧的.

研究的目的:

为了评估内膜膜激光切除对艾勒斯-丹洛斯综合征患者CVI的安全性和有效性.
为这个高风险患者群体提供一种新的,最少侵入性的方法,作为传统开放手术的替代方案.

主要方法:

使用1940nm射线纤维进行内膜激光切除,用于靠近骨结节的不充分的骨干静脉.
该程序适用于两名被诊断患有埃勒斯-丹洛斯综合征的患者.

主要成果:

在这两位患者中,成功地实现了足够的静脉关闭.
没有观察到手术内或术后并发症,突出显示了手术的安全性.
这标志着内皮光线激光切除在EDS患者中首次用于CVI.

结论:

腹膜内膜激光切除是埃勒斯-丹洛斯综合征患者CVI的可行和安全的治疗选择.
这种微创手术技术弥合了保守治疗和开放手术之间的差距.
应考虑对患有CVI的EDS患者进行治疗,特别是当保守治疗失败或疾病过程复杂时.

关键词:

埃勒斯 - 丹洛斯综合征静脉静脉多动症是一种疾病.慢性静脉功能不全慢性静脉功能不全光内膜切除是指进行内膜切除.

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