腔内激光和传统手术治疗下肢静脉曲张的近期疗效比较

Comparison of immediate therapeutic effects of endovenous laser treatment and conventional therapy for lower extremity varicose veins

目的比较静脉腔内激光(ELT)和传统手术治疗下肢静脉曲张(LEV)的近期疗效,探讨ELT的适应症。方法对20例22条肢体行ELT和30例36条肢体行传统手术的LEV患者的临床资料进行分析,比较两者手术时间、手术切口、术后疼痛、手术并发症、术后住院时间、一年复发率六项指标的优劣。结果ELT组在手术时间、手术切口、术后疼痛、术后住院时间四项指标明显优于传统手术组,而手术并发症、一年复发率与传统手术组无差异。结论ELT是一种安全、有效、无疤痕的微创治疗LEV新方法,有望替代传统手术应用于LEV的治疗,ELT扩大了传统手术的适应症。

s:Objective To compare the immediate therapeutic effects of endovenous laser treatment (ELT) and conventional surgery for lower extremity varicosity (LEV).Methods Twenty-two limbs of 20 patients with ELT and 36 limbs of 30 patients with traditional surgery were analyzed in terms of operation time,number of the incision,postoperative pain,complications,postoperative hospital stay and one-year recurrence rate.Results ELT group had shorter operation time,fewer incisions,less postoperative pain and shorter hospital stay than conventional surgery group,but the two groups showed no significant difference in complications and one-year recurrence rate.Conclusions As a safe and effective new treatment of LEV with minimal invasiveness and leaving no scars ELT has the potential to replace conventional surgery and extends the surgical indications for LEV treatment.