腔内激光治疗老年下肢静脉曲张患者68例疗效观察

Efficacy of endovenous laser treatment for 68 elderly patients with varicose veins

目的探讨老年患者下肢静脉曲张的治疗方法及其临床疗效。方法回顾性分析我院2012年3月至2014年3月,133例下肢静脉曲张老年患者的临床资料,68例采取腔内激光治疗为治疗组,对照组65例采取传统手术治疗,观察比较两组临床疗效。结果治疗组手术时间及住院时间明显较对照组短,术中出血量明显较对照组少,治疗组总有效率为97.1%,对照组总有效率为81.5%,治疗组疗效显著优于对照组,差异均有统计学意义(P<0.05)。结论大隐静脉高位结扎加腔内激光治疗下肢静脉曲张创伤小,术后恢复快,瘢痕少,是适合老年下肢静脉曲张患者并优于传统手术的治疗方法。

Objective To discuss the treatment and the clinical efficacy of elderly patients who plagued by varicose veins. Methods The clinical data of 133 cases （elderly patients） with varicose veins, which drawn from March 2012 to March 2014 of the Second Hospital of Nanping, were analyzed retrospectively. In the treatment group, 68 cases with various veins were trea ted by endovenous laser treatment. Sixty-five cases in the control group were treated by traditional surgical treatment. The cur ative effect of the two groups was compared. Results The surgery duration, duration of hospitalization and the amount of intra- operative bleeding in the treatment group were all significantly lower than those in the control group. The effective rates of the treatment group and the control group were 97. 1% and 81.5 % respectively, which had statistically significant difference （P〈 0.05）. Conclusion The high ligation and endovenous laser procedure for varicose veins has proved to be more effective for low patient injury, rapid recovery and less acne scar, which is superior to the traditional surgical treatment and suitable for elderly patients with varicose veins.