治疗下肢静脉曲张最有效的方法（下肢静脉曲张治疗方法盘点）

静脉曲张是最为常见的下肢血管疾病，其治疗方法也经历了人类数百年的历史和数次里程碑式的技术创新，包括硬化剂的发明、抽剥器的产生、腔内热消融，以及目前最先进的血流动力学纠正的CHIVA技术。

参考文献：

1. Perrin M, Allaert FA. Intra- and interobserver reproducibility of the recurrent varicose veins after surgery (REVAS) classification. Eur J Vasc Endovasc Surg. 2006;32:326-332.

2. Perrin M. Presence of varices after operative treatment: a review (part 2). Phlebolymphology. 2015;22:5-11.

3. Brake M, Lim CS, Shepherd AC, et al. Pathogenesis and etiology of recurrent varicose veins. J Vasc Surg. 2013;57:860-868.

4. Kostas T, Ioannou CV, Touloupakis E, et al. Recurrent varicose veins after surgery: a new appraisal of a common and complex problem in vascular surgery. Eur J Vasc Endovasc Surg. 2004;27:275-282.

5. 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(5) Suppl:2S–48S.

6. Rollo HA, Giannini M, Yoshida WB. Preservacao da veia safena magna na cirurgia de varizes dos membros inferiores. J Vasc Bras. 2009;8(2):154–165.

7. Milone M, Salvatore G, Maietta P, Sosa Fernandez LM, Milone F. Recurrent varicose veins of the lower limbs after surgery: role of surgical technique (stripping vs. CHIVA) and surgeon’s experience. G Chir. 2011;32(11-12):460–463.

8. Ferracani E, Bercovich J, Schulte C. Great saphenous vein remodeling using LASER with low-energy linear endovenous energy density, no tumescence, and associated surgical techniques. J Phlebol Lymphol. 2018;11(1):28–33.

9. Zmudzinski M, Malo P, Hall C, Hayashi A. CHIVA: a prospective study of a vein sparing technique for the management of varicose vein disease. J Vasc Surg. 2018;6(1):134–135.

10. Felipe Puricelli Faccini, Stefano Ermini, Claude Franceschi. CHIVA to treat saphenous vein insufficiency in chronic venous disease: characteristics and results J Vasc Bras. 2019; 18: e20180099.

11. R.G. Bush，P. Bush，J. Flanagan，et al. Associated With Recurrence of Varicose Veins After Thermal Ablation: 3-Year Results of the REVATA (Recurrent Veins After Thermal Ablation) StudyABSTRACT FROM THE 2012 AMERICAN VENOUS FORUM ANNUAL MEETING| VOLUME 55, ISSUE 1, P297, JANUARY 01, 2012