静脉腔内激光治疗大隐静脉曲张  

Treatment experience of endovenous laser treatment for patients with great saphenous vein varicosis

作　　者：季风存[1] 康俊升[1] 聂磊[1] 王焱[1] 何少武[1] 王兆新[1] 

机构地区：[1]解放军第八十八医院普通外科,山东泰安271000

出　　处：《中国实用医刊》2010年第9期22-24,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨腔内激光治疗(EVLT)大隐静脉曲张的手术体会及疗效.方法 2007年8月至2009年3月我院对108例144条肢体大隐静脉曲张行高位结扎、腔内激光治疗或腔内激光治疗辅助局部曲张静脉切除.结果 本组一次治愈率95.1%(136/144),余7例8条肢体术后残留少量曲张静脉存在,二期在局部麻醉下行手术切除或再次激光治疗.25例术后可在大隐静脉主干部位或小腿局部出现条索状硬结,并伴有局部轻度疼痛,5例出现局部浅表静脉炎,7例出现程度不同的皮肤灼伤,无深静脉血栓、肺栓塞等严重并发症发生.平均手术时间(40±5) min(单侧肢体);术后住院时间4～9 d,平均5.8 d.108例随访1～18个月,平均10个月,未见复发.结论 ELVT应正确选择病例,掌握手术技巧可减少并发症的发生,ELVT联合大隐静脉高位结扎、局部切除,疗效确切.Objective To explore the treatment experience and curative effect of endovenous laser treatment(ELVT)for patients with great saphenous vein varicosis.Methods One hundred and eight cases (144 limbs)with varicose great saphenous veins were performed endovenous laser treatment.The opreration included high ligation and photocoagulation of varicose veins,or photocoagulation of varicose veins combined with local resection of varicose veins.Results The cure rate on one group was 95.1%(136/144),reoperations of local resection or laser photocoagulation under local anesthesia were required in 7 cases (8 limbs)due to remnant varicose veins.Main complications involved local funicular callosity along the stem of the great saphenous vein in 25 cases,local skin phlebitis in 5 cases,and skin burn in 7 cases.Deep vein thrombosis and pulmonary embolism no found.The mean operation time was (40±5) min(single limb),the duration of postoperative hospital stay was 4～9 d(mean 5.8 d),all cases were followed up for 1-18 months (mean 10 months), no found recurrence.Conclusions The managements of selecting patient correctly,operating skillfully is of great clinical significance in the prevention of ELVT complications.Endovenous laser treatment(ELVT)combined with high ligation and local resection of varicose veins is effective.

关 键 词：腔内激光治疗 大隐静脉曲张 并发症 

分 类 号：R654.4[医药卫生—外科学]