腔内电凝联合手术治疗下肢静脉功能不全46例疗效分析

Therapeutie effect of venous insufficiency in the lower limbs by combination endovenous electrocoagulation and vascular surgery:A report of 46 cases

目的：观察腔内电凝联合手术治疗下肢静脉功能不全的临床疗效。方珐：电凝联合大隐静脉高位结扎术12例（16肢）；电凝治疗联合大隐静脉高位结扎术、股浅静脉瓣膜包瓣术14例（14肢）；电凝治疗联合大隐静脉高位结扎术、电视内镜下交通支静脉夹闭术18例（18肢）；电凝治疗联合大隐静脉高位结扎术、股浅静脉瓣膜包窄术及电视内镜下交通支静脉夹闭术2例（2肢）。结果：随访2—48个月，46例均疗效满意，恢复正常的生活或工作，无局部复发。站论：腔内电凝治疗安全、微创、疗效好，操作简便，联合手术治疗时，可扩大治疗应用范围。

Objective：To evaluate results of endovenous treatment of superficial varicosities in lower extremities with fulguration, Methods： Endovenous fulguration therapy combined with high ligation of great saphenous vein in 16 limbs of 12 patients;endovenous fulguration therapy combined with external banding valvuloplasty of superficial femoral vein and high ligation of great saphenous vein in 14 limbs of 14 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein and perforator（s） through video assisted endoscopy in 18 limbs of 18 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein, external banding valvuloplasty of superficial femoral vein and perforator（s） through video assisted endoscopy in 18 limbs of 18 patients. Results：All patients were followed up from 2 to 27 months（ mean 6, 12 months） with satisfactory results. No recurrence was observed. Concluslons：Endovenous fulguration therapy is a therapeutic entity with advantages of safety, effectiveness, minimal invasiveness, easy technology and without any scar, It can be used in combination with surgery as well.