腔内激光闭合术治疗下肢静脉曲张疗效的影响参数分析

Analysis of influencing parameters of intracavitary laser closure in the treatment of varicose veins of the lower extremities

下肢静脉曲张是血管外科常见疾病,是多因素影响的结果,临床表现主要为下肢表浅静脉增粗、迂曲、扩张,可伴下肢憋痛、小腿肿胀等不适,严重者可出现下肢皮肤色素沉着、静脉性溃疡等。目前常见的治疗方案包括大隐静脉高位结扎剥脱术、腔内激光闭合术(EVLA)、射频消融术、泡沫硬化剂治疗等。本文就可能影响EVLA治疗效果及治疗并发症的一些参数设置和设备选择进行综述,希望可以帮助临床医师更好地选择EVLA装置,为患者寻找可能的最佳治疗方案。

Varicose veins of the lower extremities are a common disease in vascular surgery and are the result of multiple factors.The clinical manifestations are mainly thickening,tortuosity and dilation of the superficial veins of the lower extremities,which may be accompanied by discomforts such as lower extremity pain and swelling of the lower legs.In severe cases,skin pigmentation of lower extremities,venous ulcers,etc.The current common treatment options include high saphenous vein ligation and stripping,endogenous laser treatment,radiofrequency ablation and foam sclerotherapy,etc.This article reviews some parameter settings and equipment selection that may affect the therapeutic effect and complications of endogenous laser treatment.Hope to help clinicians better choose the device of intracavity laser closure and find the best possible treatment plan for patients.