高位结扎联合腔内激光治疗大隐静脉曲张的临床分析

The Clinical Analysis on Efficacy of High Ligation Combined with Endovenous Laser Treatment in Greater Saph

目的探讨高位结扎联合腔内激光治疗大隐静脉曲张的疗效。方法回顾性分析2003年7月至2006年7月采用高位结扎联合腔内激光治疗218例大隐静脉曲张患者的临床资料,并与1998年2002年采用传统手术方法治疗该病的100例患者进行对照分析。结果采用高位结扎联合腔内激光治疗的患者伤口全部一期愈合,无感染病例;大部分患者下肢症状减轻或消失,术后一个月复查时活动均无障碍;无下肢深静脉血栓形成,无下肢深静脉损伤发生。结论高位结扎联合腔内激光治疗与传统手术方法比较具有切口少、出血量小、手术时间短、恢复快、住院时间短、术后并发症较少、复发率低等优点,但仍有其局限性。

Objective To investigate the efficacy of high ligation combined with endovenous laser treatment （EVLT） in greater saphenous vein varicosity. Methods The clinical data of 218 cases of greater saphenous vein varicosity who underwent high ligation combined with EVLT during July 2003 to July 2006 were retrospectively reviewed, and were compared with the 100 cases as control who were operated on with the common surgery during 1998 to 2002. Results All of the patients who underwent the EVLT had healing by first intention without infection. Among most of them the symptoms of lower extremity disappeared or were alleviated, no motion disturbance during one month postoperative followup. There were no deep venous thrombosis and deep vein injury among them. Conclusion High ligation combined with EVLT is advantageous in terms of less incision, minimal hemorrhage, shorter operation time, more rapid recovery and shorter hospitalization time compared with common operation. Further more the complication is decreased and the recurrence is lower. However it is still imperfect.