静脉腔内激光治疗大隐静脉曲张的疗效分析

Endovenous laser treatment for varicosis of great saphenous vein

目的观察静脉腔内激光(EVLT)治疗大隐静脉曲张的疗效。方法将68例大隐静脉曲张病人随机分为两组,EVLT组(36例)和传统手术组(32例)。EVLT组采用EVLT加大隐静脉高位结扎;传统手术组采用大隐静脉高位结扎抽剥,交通支切除结扎。随访3～18个月。观察术后效果、并发症的情况并比较分析。结果两组病例下肢酸胀、乏力明显好转;皮肤色素沉着减轻。EVLT组平均住院时间为4.2d,传统手术组为9.4d,传统手术组并发症明显多于EVLT组。结论EVLT治疗大隐静脉曲张创伤小,并发症少,疗效确切,比传统手术治疗优越。

Objective To observe the therapeutic effect of endovenous laser treatment （EVLT） for varicosis of great saphenous vein. Methods Sixty-eight cases of varicosis of great saphenous vein were divided into two groups randomly; EVLT group （36 cases） was treated with EVLT, then the great saphenous vein was highly ligated and striped, and control group （32 cases） was subjected to conventional therapy （great saphenous vein was highly ligated and striped, and its communicating branches were resected and ligated）. All these cases were followed up for 3-18 months, and the postoperative effectiveness and complications were observed. Results The symptoms of swelling and acratia in lower extremity were obviously alleviated, and the skin pigmentation was faded in two groups. The average hospital stay in EVLT group （4. 2 days） was shortern than in control group （9. 4 days）, and the complications in EVLT group were significantly fewer than in control group. Conclusion EVLT is superior to the conventional therapy for varicosis of great saphenous vein, with its minimal invasion, fewer complications and conspicuous curative effectiveness.