腔内激光治疗大隐静脉曲张138例临床分析

Clinical analysis of endovenous laser in the treatment of varicose great saphenous veins in 138 cases

目的：探讨腔内激光治疗大隐静脉曲张的疗效。方法：对138例179条肢体大隐静脉曲张行高位结扎、激光烧灼治疗大隐静脉主干和小腿曲张静脉。小腿局部严重曲张的静脉团,另做切口做局部切除或点状抽剥。结果：一次治愈率96.9%（172/179）。6例7条肢体术后因仍有少量曲张静脉存在,局麻下行切除或再次激光治愈。124例大隐静脉主干及小腿局部条索状硬结、疼痛;5例皮肤灼伤。术后住院4~7 d,121例随访1~20个月,未见复发。结论：腔内激光治疗大隐静脉曲张创伤小,近期疗效确切。

Objective：To investigate the curative effects of endovenous laser in the treatment of varicose great saphenous veins.Methods：One hundred and seventy-nine limbs（138 patients） with varicose great saphenous veins were treated with high ligated,the venous trunk and lower leg varicose veins were treated with photocoagulation. Local resection or dot stripping were performed in severely varicose veins of shank. Results：The cure rate was 96. 9%（172 /179）. Six cases with remnant varicose veins after operation were cured by resection under local anesthesia or laser photocoagulation again. The local funicular callosity in 124 great saphenous veins and shank,and skin ambustion in 5 cases were found. The duration of postoperative hospital stay was 4 to 7 days. One hundred and twentyone cases were followed for 1 to 20 months,no case recurred. Conclusions：Endovenous laser for treating varicose great saphenous veins is micro-trauma and good effects.