激光腔内闭合治疗下肢静脉性溃疡

Endovenous laser treatment for venous ulcer of lower extremities

目的探讨激光腔内闭合术在治疗下肢静脉性溃疡中的价值。方法20例下肢慢性静脉功能不全合并下肢静脉性溃疡患者采用10～16W激光腔内闭合治疗，术后定期随访效果。结果无皮肤灼伤等并发症出现，术后浅静脉曲张均消失，大部分溃疡于术后2～4周内愈合，最长随访18个月，无溃疡复发。结论腔内激光闭合术创伤小、安全性高、效果确切，是治疗下肢静脉溃疡的重要方法之一。

Objective To explore the value of endpvenous laser treatment （EVLT） in treating the variceal ulcer of lower extremities （ VULE ）. Methods Twenty cases of chronic venous insufficiency with VULE were treated with endovenous laser and received regular postoperative follow-up survey. Results No complication, such as burning of skin happened, all superficial varicose veins disappeared, and most of ulcers were healed within 2 -4 weeks after EVLT. Conclusion EVLT is one of the important methods which is minimally invasive and safe to treat VULE.