腔内激光和微波治疗下肢慢性静脉功能不全的临床研究

Clinical research on endovenous laser and microwave treatment of chronic venous insufficiency

目的探讨血管腔内激光和血管腔内微波治疗下肢慢性静脉功能不全的效果。方法将196例CEAP分期C3～C6级患者随机分为激光治疗组(EVLT组,102例)和微波治疗组(EMT组,94例),分别行血管腔内激光治疗和血管腔内微波治疗。对比两组患者术后恢复情况、并发症及血管病理学改变。结果两组患者症状均明显改善,皮肤灼伤、皮肤麻木、硬性条索、术后复发残留、术后症状改善情况及两组血管治疗后病理改变均无统计学差异(P>0.05),EVLT组患者皮下淤血发生率(25.5%)稍高于EMT组(14.6%)(P<0.05)。结论血管腔内激光与血管腔内微波均可有效治疗下肢慢性静脉功能不全,近期效果均满意。但长期疗效有待进一步观察。

Objective To investigate the effect of endovenous laser （EVLT） and microwave treatment （EMT） in the treatment of chronic venous insufficiency（CVI）.Methods According to CEAP classification,patients with CVI were divided into EVLT group （102 cases） and EMT group （94 cases） randomly.The incidence of postoperative recovery,complications and the pathological changes were compared.Results The incidence of suggillation was higher in EVLT （25.5%） than in EMT （14.6%） group （P0.05）,but there were no significant differences in numbness,burning pain,indurated cords,relapse rate,postoperative recovery and pathological changes between the two groups （all P0.05）.Conclusions Both EVLT and EMT can be used to treat CVI effectively,however,long-term results merit further investigate.