激光治疗大隐静脉曲张  

Laser Treatment of Varicosis of Great Saphenous Vein

作　　者：王春喜[1] 韩丽娜[2] 顾瑛[2] 王晓玲[3] 彭正[1] 李丽民[4] 范红艳[4] 闻智[4] 

机构地区：[1]解放军总医院普通外科,北京市100853 [2]解放军总医院激光医学科 [3]北京市长峰医院外科 [4]解放军总医院门诊外科

出　　处：《中国激光医学杂志》2005年第2期103-105,共3页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的探讨激光治疗静脉曲张的方法,总结激光光凝大隐静脉曲张的临床经验。方法大隐静脉曲张患者283例,其中单纯大隐静脉曲张278例,同时伴有轻度胭静脉返流5例。内踝部切口1cm,显露大隐静脉,使用810nm波长的半导体激光器,利用5F导管将光纤(直径400μm)送入大隐静脉内,行血管内激光光凝。激光功率12W,照射1s,间隔1s。结果术后当天既自由活动,术后8d拆线,切口愈合良好,肢体活动自如,无皮肤灼伤、皮下血肿和下肢水肿。随访6-22个月,平均14个月,超声检查大隐静脉均已闭塞,无复发或再通现象,局部皮肤营养障碍性病变明显减轻,浅静脉曲张完全消失,下肢酸胀感减轻或消失。结论激光治疗大隐静脉曲张,操作简便、创伤小、美观、恢复快,是一种较好的治疗大隐静脉曲张的微创方法,值得推广应用。Objective To investigate the therapeutic method of laser in patients with venous varicosis, and to summarize the laser therapeutic experience for varicosis of great saphenous veins. Methods Two hundred eighty-three patients with varicosis of great saphenous vein, in which 278 cases were great saphenous vein varicosis only and 5 cases were coexist great saphenous vein varicosis with mild blood reflex of popliteal veins. The laser wire being delivered into saphenous vein through 5F conductor, the intravenous photocoagulations were made with 810 nm laser wave length. Results The patients'limbs moved freely after operation. The incisions were well healed without edema, haematoma and other complications. Being followed - up from 6 to 22 months( averagely 14 months) in those patients, the great saphenous veins were identified to be obliterans with no recurrence. The local skin malnutrition atrophy was relieved gradually and the venous varicosis was disappeared completedly. Conclusions The laser photocoagulation is one of convenient, minitraumatic, aesthetic and quick restorative therapeutic methods in patients with great saphanous vein varicosis, which should be used widely .

关 键 词：大隐静脉曲张 激光治疗 半导体激光器 激光光凝 浅静脉曲张 临床经验 静脉返流 激光功率 切口愈合 肢体活动 皮肤灼伤 下肢水肿 皮下血肿 超声检查 再通现象 皮肤营养 完全消失 微创方法 推广应用 静脉内 血管内 无复发 

分 类 号：R654.3[医药卫生—外科学]