高强度聚焦超声波在小沙静脉无能症:一个试点可行性研究
Paolo Casoni1, Emanuele Nanni1, Matteo Pizzamiglio1
1Vascular Surgery Service, Ippocrate Vein Clinic, Parma, Italy.
Phlebology
|December 26, 2025
概括
高强度聚焦超声波 (HIFU) 有效地治疗小沙静脉 (SSV) 无能,导致静脉闭塞和改善生活质量. 所有接受治疗的SSV在一年内都出现了收缩或关闭,没有复发.
科学领域:
- 血管外科 血管外科
- 最少侵入性手术的方法
- 医学超声波技术 医学超声波技术
背景情况:
- 小沙静脉 (SSV) 无能是慢性静脉疾病的常见原因之一.
- 目前对SSV无能症的治疗方法有局限性.
- 高强度聚焦超声波 (HIFU) 提供了一种新的非侵入性方法.
研究的目的:
- 评估HIFU在治疗SSV无能症中的有效性.
- 为了评估SSV收缩或关闭的一年后的速度.
- 测量生活质量和临床严重性得分的改善.
主要方法:
- 被诊断为SSV无能症的患者接受了HIFU治疗.
- 治疗后一周,三个月,六个月和一年评估结果.
- 生活质量 (CIVIQ-20) 和修订的静脉临床严重性得分 (rVCSS) 用于评估.
主要成果:
- 所有经过治疗的SSV在所有随访点中都出现了关闭或收缩,长达一年的时间.
- 三个月后 (p < .01) 观察到生活质量的显著改善 (CIVIQ-20).
- 在随访期间,没有发现复发性静脉.
结论:
- HIFU似乎是SSV无能的有效治疗方法.
- 该程序导致SSV成功关闭,并改善了患者的福祉.
- 需要对更大的队列进行进一步的比较研究来证实长期的结果.
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