下肢浅静脉腔内激光治疗术后是否抗凝的回顾性临床分析  

Retrospectively analysis of anticoagulation after endovenous laser treatment in chronic venous insufficiency patients

作　　者：杨广林[1] 黄晟[1] 郑元超[1] 

机构地区：[1]上海交通大学医学院附属第三人民医院普外科,上海201900

出　　处：《中国现代医学杂志》2012年第27期103-106,共4页China Journal of Modern Medicine

基　　金：上海市卫生局科研基金资助课题(No:2010129)

摘　　要：目的对静脉腔内激光治疗（EVLT）下肢慢性静脉功能不全（CVI）术后是否需要常规抗凝治疗进行初步探讨。方法回顾性分析202例CVI病例资料,平均年龄为（52.6±5.52）岁,男性113例,女性89例。术后应用低分子肝素的患者79例（设为A组）,术后未应用过低分子肝素的患者123例（设为B组）。所有患者随访时间3~12月。结果所有患者在术后1年以内的随访期间,仅A组有1例发生术肢深静脉血栓形成（DVT）。两组所有病例均无肺栓塞发生。A组B组两组间在术后下肢深静脉血栓形成发病率方面无显著性差异（P〉0.05）。结论回顾性临床分析提示腔内激光治疗下肢慢性静脉功能不全术后是否应用抗凝药物对预防下肢深静脉血栓形成没有显著性差异,权威结论尚需要进一步多中心的前瞻性随机对照临床实验结果。[Abjective ] To study whether Anticoagulation is a must after EVLT （Endovenous Laser Treatment） in CVI （Chronic Venous Insufficiency） Patients. [ Methods ] The data of 202 cases treated with CVI were retrospective- ly analyzed, 79 cases treated with LMWH after EVLT （group A）, compared to that of 123 cases not treated with LMWH（group B）. [ Results ] Within one year follow up after EVLT, no significant difference was found between the two groups （P 〉0.05）. Only one case of DVT in the treated .lower extremity was found, no pulmonary embolism was found in both groups. [ Conclusion] There was no significant difference whether Anticoagulation was applied after EVLT in CVI Patients within one year follow up in our retrospectively study. A multicenter RCT is needed.

关 键 词：静脉腔内激光治疗 下肢静脉功能不全 下肢深静脉血栓形成 

分 类 号：R616.4[医药卫生—外科学] R654.4[医药卫生—临床医学]