摘要
目的分析激光腔内闭合术治疗大隐静脉曲张的临床疗效。方法回顾性分析2018-06至2021-01在武警医院外一科二病区收治的65例采用激光腔内闭合术治疗大隐静脉患者的临床资料,其中左、右下肢患者分别为32例和19例,双下肢患者为14例,共79条肢体。结果65例患者79条患肢均成功完成手术,其中顺行激光治疗46条,逆行11条,顺逆结合22条。单个患肢的手术操作时间47~87 min,平均手术时间(62.33±10.06)min。术后共有10条患肢(12.66%)出现皮下瘀血、瘀斑症状;5条患肢(7.14%)出现皮肤呈条索状或点状灼烧灼伤;2条患肢(2.86%)出现静脉曲张复发。给予患肢对症治疗后,电话随访6~12个月,所有患者的患肢静脉曲张症状均已消失,患肢运动后酸胀及肿痛感消失或缓解,皮肤色素沉着等症状均减轻,且均无复发。结论临床采用激光腔内闭合术治疗大隐静脉曲张是安全可行的,能很好地减少术后疼痛、不适及术后腿部麻木,并具有术中创伤小,术后患肢美观效果好等优点,在临床中适合广泛推广应用。
Objective To analyze the clinical effect of endovenous laser treatment for the great saphenous varicose veins.Methods Retrospective analysis was performed on the clinical data of 65 patients,who were admitted to our hospital from June 2018 to November 2021 for the treatment of the great saphenous vein by endovenous laser treatment.Among the total 79 limbs,there were 32 left lower limb cases,19 right lower limb cases,and 14 both lower limbs cases.Results All 79 limbs of the 65 patients had operations successfully,including 46 by anterograde laser therapy,11 by retrograde laser therapy,and 22 by the combination of anterograde and retrograde.The operative time of a single affected limb was 47-87 min,with an average of(62.33±10.06)min.A total of 10 limbs(12.66%)showed subcutaneous congestion and ecchymosis after surgery.The skin of 5 affected limbs(7.14%)showed cord or dot burning.Varicose veins recurred in 2 limbs(2.86%).After the symptomatic treatment of the affected limbs,telephone follow-ups for 6-12 months showed that the varicose veins of the affected limbs had all disappeared,the feeling of sore and swollen after exercise had disappeared or alleviated,and skin pigmentation and other symptoms had alleviated without recurrence.Conclusion It is safe and feasible to treat great saphenous varicose veins through endovenous laser treatment,which could alleviate postoperative pain,discomfort,and numbness.Besides,the less invasive operation has made the postoperative appearance of the affected limbs better,which is worthy of wide clinical application.
作者
张培松
何新苗
龚义飞
汪玲
徐正涛
ZHANG Peisong;HE Xinmiao;GONG Yifei;WANG Ling;XU Zhengtao(First Department of Surgery,Anhui Armed Police Hospital,Hefei 230041,China)
出处
《中华灾害救援医学》
2021年第11期1324-1327,共4页
Chinese Journal of Disaster Medicine
关键词
激光腔内闭合术
大隐静脉
静脉曲张
endovenous laser treatment
great saphenous vein
varicose vein