泡沫硬化剂联合激光治疗下肢静脉曲张及毛细血管扩张症的疗效  

Treatment of telangiectasia and varicose vein of lower limb： experience with foam sclerotherapy and the long-pulsed 1064 nm Nd ： YAG laser

作　　者：赵海光[1,2] 张振[2] 朱玉兰[2] 蒋米尔[1] 陈锦安[2] 

机构地区：[1]上海交通大学医学院附属第九人民医院血管外科,200011 [2]上海交通大学医学院附属第九人民医院激光美容中心,200011

出　　处：《中华医学美学美容杂志》2016年第3期172-174,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨泡沫硬化剂联合1064nm Nd：YAG激光治疗下肢静脉曲张及毛细血管扩张症的临床效果。方法经多普勒超声检查排除下肢深、浅静脉瓣膜功能不全后，对72例下肢单纯性毛细血管扩张症患者应用注射泡沫硬化剂联合1064nm Nd：YAG激光治疗。对治疗效果、满意度和并发症等进行评价。结果72例患者经治疗后，痊愈38例，显效32例，有效2例，总有效率100％。患者满意程度随访发现，3个月非常不满1例、不满3例、较满意6例、满意32例、非常满意30例，12个月后非常不满0例、不满1例、较满意9例、满意28例、非常满意34例。患者均无任何严重不良反应。结论泡沫硬化剂联合1064nm Nd：YAG激光治疗下肢静脉曲张与毛细血管扩张症是一种安全、简单、有效的方法。Objective The decease of varicose vein and telangiectasis of lower extremity has always been difficult to treat. Regular treatments and medicines are invalid. This research aimed to study the effect of foam sclerotherapy and the long-pulsed 1064 nm Nd ： YAG laser in treatment of reticular veins and telangiectasis of lower extremity. Methods From January 2012 to June 2012, excluding deep and superficial veins valve insufficiency of the lower extremity through duplex ultrasonography, 72 patients with simple reticular veins and telangiectasis of the lower extremity were treated with foam sclerosing agent injection combined with Nd ： YAG 1064 nm laser therapy. Results Of the 72 patients, cure was achieved in 38 cases, significantly effective in 32 cases, effective in 2 cases, and total effective rate was 100%. Follow-up showed that after 3 months 1 case was dissatisfied, 3 cases were discontent, 6 relatively satisfied, 32 satisfied, and 30 very satisfied; after 12 months no cases were very dissatisfied, 1 cases were discontent, 9 relatively satisfied, 28 satisfied, and 34 cases very satisfied. There were no severe complications in all cases. Conclusions Foam sclerotherapy and Nd ： YAG 1064 nm laser can be used for different stages of the treatment process and different caliber of blood vessels. Treatment with foam sclerotherapy and Nd ： YAG 1064 nm laser for reticular veins and telangiectasia of lower extremity is a safe, simple and effective way.

关 键 词：静脉曲张 毛细血管扩张症 硬化剂注入疗法 激光治疗 

分 类 号：R654.4[医药卫生—外科学]