激光技术辅助治疗大隐静脉曲张术后并发症分析

Analysis of postoperative complications of laser technology adjuvant therapy for treating varicose great saphenous vein

目的探讨激光技术辅助治疗大隐静脉曲张术后并发症的发生原因及其防治措施。方法回顾性分析应用激光技术辅助治疗的155例(共187条肢体)大隐静脉曲张患者的临床资料,总结其术后并发症发生情况、发生原因及防治措施。结果术后随访6～10个月,绝大部分患者曲张静脉团块消失,患肢酸胀不适感消失,溃疡愈合,色素沉着变浅,皮疹消退。155例患者187条肢体,其中87条肢体出现并发症,并发症发生率为46.5%,部分肢体出现2种以上并发症;其中静脉炎症反应、皮下淤斑、隐神经损伤、皮肤灼伤、下肢肿胀和下肢深静脉血栓形成发生率分别为17.6%(33/187)、13.4%(25/187)、9.6%(18/187)、6.4%(12/187)、4.3%(8/187)和0.5%(1/187);除1例深静脉血栓患者遗留后遗症外,其余并发症经治疗均痊愈。结论激光技术辅助治疗大隐静脉曲张创伤小,疗效确切,但应采取积极有效的处理措施,预防并发症的发生。

Objective To explore the causes and prevention methods of the postoperative complications of laser technology adjuvant therapy for varicose great saphenous vein.Methods The clinical data of 155 patients（187 legs） with varicose great saphenous vein who were treated with laser technology were analyzed retrospectively,and the occurrence,causes and control measures of postoperative complications were summarized.Results During the followed-up period of 6-10 months,in the vast majority of patients,the varicose veins clumps and the feelings of soreness and discomfort disappeared,the ulcer healed,the pigmentation became lighter,the rash subsided.In the 187 legs of 155 patients,complications occurred on 87 legs,the incidence was 46.5%（87/187）.Some legs showed more than two kinds of complications.The occurrence rates of phlebitis,subcutaneous ecchymosis,saphenous nerve injury,skin adustum,lower limb swelling and deep venous thrombosis were 17.6%（33/187）,13.4%（25/187）,9.6%（18/187）,6.4%（12/187）,4.3%（8/187） and 0.5%（1/187）,respectively.One patient with deep venous thrombosis had sequela,the rest of complications had be cured after treatment.Conclusion The laser treatment on varicose great saphenous vein has the advantages of tiny wound and good efficacy,but the positive and effective measures should be taken to prevent the occurrence of complications.