电凝法治疗下肢静脉曲张

Electrocoagulation for varicose veins of the lower extremity

目的 :为了减少术中出血和术后皮下血肿和瘢痕 ,介绍一种治疗下肢静脉曲张的电凝法。方法 :下肢静脉曲张 2 95例 ,共 40 3条肢体 ,除腹股沟切口高位结扎大隐静脉及其分支外 ,曲张静脉及大隐静脉主干均采取电凝法使之闭塞。结果 :术后除 1例外 ,均无皮下出血及血肿。术后住院时间仅 2～ 3d。结论 :电凝法治疗下肢静脉曲张是一种简便、易行的方法 ,此方法损伤小、出血少 ,并具有成形效果。

Objective: To reduce hematoma and operative scars, a new method, electrocoagulation for varicose veins of the lower extremity, was introduced. Methods: An incision was made at the ankle. A special electrocoagulator probe was inserted from distal end to proximal end of the long saphenous vein. After the long saphenous vein and its divisions were ligated at the groin, all varicose veins and the main truck of the long saphenous vein were electrocoagulated. Results: From October 1996 to September 1999, 295 patients and their 403 sick legs were treated. The results were perfect except for the scars at the ankle and groin. The patients needed only 2 to 3 days in the hospital. Conclusion: Electrocoagulation for varicose veins of the lower extremity is simple and easy, and has the effectiveness of plastic surgery. (J Beijing Med Univ, 2000,32:182)