激光技术辅助治疗大隐静脉曲张

Endovenous Laser Combined with Ligation and Striping Therapy for Varicose Saphenous

目的评估激光辅助治疗大隐静脉曲张的疗效。方法回顾性分析了2003年11月-2004年12月间在我院接受激光结合手术治疗的21例大隐静脉曲张患者共30条肢体的临床资料。结果全组病例手术效果满意，近期症状缓解率82．4％，远期症状缓解率100％，无伤口感染、血肿等。近期并发症为残余血栓性静脉炎疼痛2例（11．7％），小面积皮肤灼伤1例（5．9％），残余小静脉曲张1例（5．9％），胫前麻木1例（5．9％），少许浅静脉周围炎1例（5．9％），经对症处理后缓解满意。无远期严重并发症，1年内无静脉曲张复发。结论经皮激光治疗技术和手术结合激光技术是治疗大隐静脉曲张安全有效的方法。

Objective To evaluate the curative effect of the combination of endovenous laser treatment of varicose saphenous vein （ELVS） and classic ligation and stripping treatment. Methods We retrospectively analyzed the clinical data of 21 patients with varicose saphenous vein （VS） who were treated with ELVS alone or combined with ligation and stripping in our hospital. Results All the patients got good therapy result. The early symptom relief rate was 82.4% , while the late symptom relief rate was 100%. No infections, haematoma of wound, and any other major complications were reported. The common complications included pain induced by remains of the thrombosis phlebitis （n = 2, 11.7% ）, minor skin burn （n = 1,5.9% ）, residue vein varicose （n = 1, 5.9% ）, numbness of the calf （ n = 1, 5.9% ）, and mild peri-phlebitis （ n = 1, 5.9% ）. All the complications were resolved after proper management. The 1-year follow-up showed no recurrence. Conclusion treatment of varicose The combination of ELVS and classic ligation and stripping is safe and effective in the saphenous.