腔内激光闭合联合其他手术治疗下肢静脉曲张疗效探讨  

Endovenous laser treatment combined with other surgical techniques for treatment of varicose veins of lower limbs

作　　者：李华刚[1] 张雨[1] 马卉[1] 易维真[1] 

机构地区：[1]安徽中医学院第一附属医院血管乳腺外科,合肥230031

出　　处：《安徽医学》2011年第2期176-178,共3页Anhui Medical Journal

摘　　要：目的评价经皮静脉腔内激光闭合术联合多种术式治疗下肢静脉曲张的疗效。方法 130例共165条肢体腔内激光联合多种术式治疗。主要手术方式：①激光治疗联合大隐静脉高位结扎术;②激光治疗联合大隐静脉高位结扎和股浅静脉瓣膜包窄术;③激光治疗联合大隐静脉高位结扎和内镜下交通支静脉离断术。结果 6例（3.6%）局部复发经再次激光治愈,其余病例均一次治疗闭塞,随访1~20个月（平均6.8个月）,均恢复正常工作、生活。结论腔内激光治疗是一种安全、有效、微创的术式,联合手术治疗可以进一步拓宽其手术适应证。Objective To Clinical evaluation of therapeutic effects of endovenous laser treatment（EVLT） combined with other surgical techniques for treatment of varicose veins of lower extremities.Methods 130 patients with 165 suffered limbs underwent single endovenous laser treatment or combined treatments.Three main modus operandi were involved：①endovenous laser treatment combined with high ligation of great saphenous vein（97 limbs）;②endovenous laser treatment combined with external banding valvuloplasty of superficial femoral vein and high ligation of great saphenous vein（38 limbs）;③endovenous laser treatment combined with high ligation of great saphenous vein and Subfascial Endoscopic Perforator Surgery（SEPS）（25 limbs）.Results Occlusion of the varicose veins were obtained in all patients after the initial treatment,but in six cases（3.6%）,varicose veins recurred a second time,which were also successfully treated with EVLT.All patients were followed up for 1-20 months（mean 6.8 months）,all of them put back proper functioning and livelihood.Conclusion Endovenous laser treatment is a treatment for varicose veins with the advantages of safety and effectiveness with minimal invasiveness.Its indications can be expanded by combining with other surgical treatments.

关 键 词：静脉腔内激光 下肢 静脉曲张 

分 类 号：R654.3[医药卫生—外科学]