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許多民眾對於靜脈曲張的印象，就是站太久會出現的疾病，腿會冒出一條條像蚯蚓的青筋，不美觀可是也不會造成什麼影響，所以不用太在意，抬腿就會預防或改善。醫師提醒，靜脈曲張並不只是影響腿部外觀而已，其會導致靜脈血液無法順利回流，嚴重可能會有血栓等致命併發症，不可小覷。

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健康醫療網

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健康醫療網

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久坐站易使靜脈曲張　女性發生率高於男性

衛生福利部南投醫院心臟血管外科莊鑫雧醫師表示，靜脈曲張是靜脈系統最常見的疾病之一。主要發生在大隱靜脈，小隱靜脈亦可能發生。大隱靜脈分佈於內踝、小腿內側直到鼠蹊部；小隱靜脈分佈於小腿外側進入膝膕靜脈。

而長久站立工作的人、懷孕女性、體重過重的人容易罹患此疾病，約有20%的男性及30%的女性患有靜脈曲張。 .

輕微靜脈曲張症狀不顯著　嚴重恐出血

莊鑫雧醫師指出，靜脈曲張包括原發性或次發性淺靜脈及隱靜脈系壁擴張，或瓣膜關閉不全所致的靜脈蜿蜒而曲張的狀態；下肢靜脈曲張之確切成因目前仍不明。基本原因可能為先天上病患的瓣膜及靜脈管壁較為脆弱。

大部分的病患是沒有症狀的，因此許多患者會忽視靜脈曲張的嚴重性，而不就醫。莊鑫雧醫師表示，輕微症狀包括下肢疼痛不適、搔癢、腫脹，嚴重症狀包括血栓靜脈炎、出血。 .

治療靜脈曲張　諮詢專業醫師有保障

聽說抬腿與按摩有效，莊鑫雧醫師對此表示，效果有限，改善的幅度不大。目前靜脈曲張的治療方法有壓迫治療、雷射治療、硬化劑治療及手術治療。壓迫治療即是穿著彈性襪，減少病變靜脈的擴張；雷射治療是用血管內雷射光束燒灼，阻斷曲張的靜脈血流，或以血管外雷射去除細微的蜘蛛靜脈曲張。

硬化劑治療是將硬化劑注射到曲張的靜脈，破壞血管內膜，使其封閉後癒合消失。手術治療包含高位結紮術、隱靜脈摘除術、局部靜脈抓除術及筋膜下穿通枝結紮術。

最後，莊鑫雧醫師提醒，所有的治療都只是治標或部分治本的，仍須適當的術後照顧來預防復發。 .

【本文由健康醫療網授權轉載，原文出處：靜脈曲張不只不美觀　嚴重會出現這些後果】

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