靜脈曲張治療流程：從看診到術後追蹤
Varicose vein treatment pathway: from consultation to follow-up
中文版
第一次看靜脈曲張，不需要先決定要做哪一種治療。我會先聽你最困擾的問題，再用超音波找出逆流來源。
治療也不一定只有一個步驟。主幹靜脈、分支曲張和蜘蛛網狀血管，可能需要分開處理，讓恢復更符合你的生活安排。
- 先確認症狀與超音波，不急著選療法
- 依血管條件與生活需求一起做決定
- 治療後仍要追蹤症狀與殘存分支
治療流程圖
門診了解你的困擾
先談腿痠、腫、抽筋、外觀或皮膚變化，以及你最希望改善的問題。
站立式下肢靜脈超音波
找出逆流來源、血管直徑與走向，也確認深部靜脈是否通暢。
一起選擇治療方式
依超音波、過敏史、工作安排、費用與個人需求，討論雷射、醫療膠或其他方式。
處理問題主幹靜脈
先關閉主要逆流來源；療法與麻醉依個別血管條件決定。
評估分支曲張
明顯分支可能搭配微創切除或硬化治療，也可分階段進行。
術後活動與彈性襪
依治療範圍決定膝下型或大腿型，壓力與穿著週數也依療法調整；保持走路，但先避免過度劇烈活動。
回診與後續追蹤
確認恢復、症狀與需要追加處理的血管；治療完成後仍要照顧雙腿。
⚠️ 溫馨提醒：流程不是固定套餐。我會依你的超音波與生活需求調整，不需要為了做完所有治療而勉強趕在同一天完成。
ENGLISH
You do not need to choose a procedure before your first consultation. We begin with your symptoms and goals, then use standing ultrasound to locate reflux.
Treatment may involve more than one step. Truncal reflux, tributary varicosities and spider veins may be treated separately to fit recovery and daily life.
- Start with symptoms and ultrasound, not a procedure
- Choose treatment together according to anatomy and daily needs
- Continue follow-up for symptoms and residual tributaries
Treatment pathway
Discuss your concerns
We review aching, swelling, cramps, appearance and skin changes, and clarify what matters most to you.
Standing leg-vein ultrasound
We map reflux, vein diameter and course, and check deep-vein patency.
Choose treatment together
Laser, medical adhesive and other options are discussed according to anatomy, allergy history, work, cost and preference.
Treat the refluxing trunk
The main source of reflux is closed using the method suited to your veins.
Assess visible tributaries
Phlebectomy or sclerotherapy may be added at the same time or in stages.
Recovery and compression
Knee-high or thigh-high length, pressure and duration are tailored to the treated segment and procedure. Walking is encouraged while strenuous activity is limited initially.
Follow-up
Recovery, symptoms and any remaining veins are reviewed. Ongoing leg care still matters.
Note: The pathway is not a fixed package. It should be adapted to your ultrasound findings, symptoms and daily needs.
References
- Gloviczki P, et al. SVS/AVF/AVLS Guidelines Part I. J Vasc Surg Venous Lymphat Disord. 2023;11:231–261.e6. 查看來源
- Gloviczki P, et al. SVS/AVF/AVLS Guidelines Part II. J Vasc Surg Venous Lymphat Disord. 2024;12:101670. 查看來源
- De Maeseneer MG, et al. ESVS 2022 Clinical Practice Guidelines. Eur J Vasc Endovasc Surg. 2022;63:184–267. 查看來源
本文提供一般衛教，不取代個別診斷或治療。若有急性不舒服，請先就近就醫。
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