下肢静脉曲张是血管外科常见疾病之一。手术是下肢静脉曲张的常用治疗手段,主要分为传统结扎剥脱术及微创腔内治疗技术。腔内热消融(Endovenous Thermal Ablation, EVTA)已逐步发展为一线治疗选择,但存在手术时间长、需要肿胀麻醉、热损伤相关并发症等问题。近十年以来兴起的氰基丙烯酸酯胶消融(Cyanoacrylate-glue Ablation, CAA)治疗下肢静脉曲张具有微创便捷、非热非肿胀、并发症发生率低、中远期闭合率高等优势,未来有望成为主流选择。本文就氰基丙烯酸酯胶(Cyanoacrylate Glue, CG)的发展、作用原理、疗效以及应用特点等方面进行综述。Lower extremity varicose veins are one of the common diseases in vascular surgery. Surgery is a common treatment, mainly categorized into traditional ligation-stripping and minimally invasive endovenous techniques. Endovenous thermal ablation (EVTA) has gradually developed into a first-line treatment option, but there are some problems, such as long operation time, need for tumescent anaesthesia and thermal injury related complications. In the last decade, Cyanoacrylate-glue Ablation (CAA) has emerged as a treatment choice for lower extremity varicose veins. CAA has the advantages of minimally invasive and convenient, non-thermal and non-tumescent, low incidence of complications, high medium and long-term closure rate, and is expected to become the mainstream choice in the future. This paper reviews the development, principles, curative effect and application characteristics of Cyanoacrylate Glue (CG).
股腘动脉段狭窄闭塞是下肢动脉最常见的发病部位。介入治疗凭借微创、住院周期短等优点逐步成为了患者的首选治疗方式。但由于目前在手术过程中,远期股腘动脉通畅率仍不理想,因此,未来研究仍将重点放在提高股腘动脉通畅率方面。基于此,文章将会对当前腔内治疗的最新进展进行全面的综述,并且结合国内外相关的研究成果展开进一步的分析和探讨。The stenosis and occlusion of the femoropopliteal artery segment is the most common site of onset in lower extremity arteries. Interventional therapy has gradually become the preferred treatment method for patients due to its advantages, such as minimal invasiveness and short hospital stay. However, during the current surgical procedures, the long-term patency rate of the femoropopliteal artery is still not satisfactory. Therefore, future research will still focus on improving the patency rate of the femoropopliteal artery. Based on this, this article will comprehensively review the latest progress in current endovascular treatment and further analyze and discuss it in combination with relevant research results at home and abroad.
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