电凝法治疗下肢静脉曲张426例的远期效果

Long-term results of electrocoagulation for 426 cases of varicose veins of the lower extremities

目的评价电凝法治疗下肢静脉曲张的远期效果。方法回顾性分析我院1996年10月-2001年10月426例（594条）下肢静脉曲张的临床资料，采用连续电凝法手术，通过门诊或问卷随访。结果住院时间3—9d，平均5．2d。合并下肢静脉溃疡的20条患肢，分别于术后0，5—2个月愈合，无复发。皮下血肿和隐神经损伤的发生率分别为0，8％（5／594）和1．2％（7／594）。局部皮肤点状烧伤发生率为0，8％（5／594）。随访364例（500条患肢），随访率85．4％（364／426），随访时间4—9年，平均5，8年，复发率10，4％（52／500），其中50条肢体经硬化剂加压治疗治愈，2条肢体经再次手术后治愈，酸胀缓解率95．1％（309／325）。结论电凝法治疗下肢静脉曲张这期效果良好，创伤小，并发症少，住院时间短。

Objective To assess long-term outcomes of electrocoagulation for treating varicose veins of the lower extremities, Methods A retrospective review was made on clinical data of 426 cases of varicose veins of the lower extremities treatd by electrocoagulation from October 1996 to October 2001. Postoperative follow-ups were carried out with clinic checkups or questionnaires, Results Of the 426 cases, follow-ups for 4 - 9 years （mean, 5.8 years） were completed in 364 cases （500 limbs） and a loss to follow-up was encountered in 62 cases, the follow-up rate being 85.4%. The cumulative rate of recurrent varicose veins was 10, 4% （52/500） , in which the recurrent varicose veins were cured with sclerosing agents in 50 limbs and with re-operations in 2 limbs, The relief rate of sensation of heaviness and tension was 95.1% （309/325）. - 8 weeks. The incidences of subcutaneous hematoma and saphenous Accompanying venous ulcers in 20 limbs healed up within 2 nerve injury were 0. 8% （5/594） and 1. 2% （7/594）.respectively. Skin burns happened in 5 limbs （0.8% , 5/594） . Conclusions Electrocoagulation for varicose veins of the lower extremities is proved to be a novel minimally invasive method, with advantages of safety, effectiveness, low costs, and short hospital stay.