经皮血管内激光消融治疗下肢静脉曲张的初步结果观察  

Preliminary results of percutaneous endovenous laser ablation for varicose vein of lower limbs

作　　者：陈晓明[1] 陆骊工[1] 邝石峰[1] 李勇[1] 胡宝山[1] 邓国三[1] 罗鹏飞[1] 

机构地区：[1]广东省人民医院肿瘤中心介入治疗室,广州510080

出　　处：《放射学实践》2004年第12期894-895,共2页Radiologic Practice

基　　金：广东省医学科研课题 (A2 0 0 4 0 1 0 )

摘　　要：目的 :探讨经皮血管内激光消融 (PELA)治疗下肢静脉曲张的初步效果和安全性。方法 :对 16例 2 2条下肢静脉曲张的患者行PELA ,所有患者均有明显的浅静脉曲张 ,同时伴活动后下肢酸胀、疼痛和乏力 ,8例伴肿胀或色素沉着。主要设备为英国DIOMED半导体激光治疗仪。结果 :2 2条患肢经PELA处理即刻静脉造影见大隐静脉主干均闭塞 ,血流中断。 16例患者随访 3～ 12个月 ,原肉眼可见的曲张浅静脉均消失 ,患者不再伴有活动后酸胀、疼痛、乏力或水肿等表现。所有病例无并发症发生。结论 :PELA治疗下肢静脉曲张简单、安全 ,初步结果令人满意。Objective:To evaluate the preliminary efficacy and safety of percutaneous endovenous laser ablation (PELA) for varicose vein of lower limbs.Methods:PELA was performed in 16 patients with varicose vein of 22 lower limbs.All patients were symptomatic,including aching pain and hypodynamia after movement.8 patients had swelling or pigmentation.Diode laser machine made in United Kingdom (DIOMED Ltd ) was used.Results:Venography after PELA domenstrated that 22 greater saphenous vein in 16 patients were all closed and blood flow was stopped.At 3～12 months follow-up, all marked surface varices were not seen,symptoms of all patients had diminished to none or minimal.No complications occurred.Conclusion:PELA appears to be a very safe technique for varicose vein of lower limbs that yields excellent short-term results.

关 键 词：静脉曲张 大隐静脉 激光 

分 类 号：R543.6[医药卫生—心血管疾病]