激光联合腔镜治疗下肢慢性静脉性皮肤溃疡  

Endovenous laser ablation combined with subfascial endoscopy therapy for venous ulcer of the lower limbs

作　　者：王辉[1] 田志龙[1] 廖向群[1] 杨继武 奚海林[1] 贾高磊[1] 秦瑞浩 冯苏[1] 袁福康[1] Wang Hui;Tian Zhilong;Liao Xiangqun;Yang Jiwu;Xi Hailin;Jia Gaolei;Qin Ruihao;Feng Su;Yuan Fukang.(Department of Vascular Surgery, Xuzhou Central Hospital,Xuzhou 221009, China)

机构地区：[1]徐州市中心医院血管外科,江苏省221009

出　　处：《中华普通外科杂志》2018年第5期405-407,共3页Chinese Journal of General Surgery

基　　金：江苏省自然科学基金资助项目（BK20161168）,徐州市社会发展项目（KC15SH098）

摘　　要：目的探讨激光闭合曲张静脉联合腔镜下交通支离断术治疗下肢静脉性溃疡的临床疗效和意义。方法回顾性分析2011年10月至2016年2月我院收治的112例患者（124条下肢），采用激光闭合曲张静脉联合腔镜下交通支离断术治疗下肢静脉曲张伴有足靴区皮肤溃疡的患者，观察术后皮肤溃疡及色素的恢复情况。结果124条肢体腔镜下可见2—6条交通支病变，术后浅静脉曲张消退，术后1个月和1年超声随访示交通支均已闭合，静脉性皮肤溃疡愈合，色素沉着减轻。结论通过激光闭合曲张静脉联合腔镜下交通支离断术可有效治疗下肢静脉曲张伴溃疡，恢复快，不良反应小。Objective To study the effect of endovenous laser ablation combined with subfascial endoscopy therapy for venous ulcer of the lower limbs. Methods Clinical data of 112 patients undergoing endovenous laser ablation combined with subfascial endoscopy therapy for venous ulcer of the lower limbs from Oct 2011 to Feb 2015 was retrospectively evaluated. Results Patients had average 2 - 5 perforating veins in their affected lower limbs. Procedures were successful in all the patients, all the superficial varicose veins disappeared after 1 month and 1 year of ultrasound follow-up, perforating veins closed, ulcer healed, and chromatosis alleviated. Conclusion Endovenous laser ablation combined with subfascial endoscopy therapy for venous ulcer of the lower limbs is effective, safe and quick recovery.

关 键 词：静脉功能不全 腹腔镜 腔内激光闭合术 静脉性溃疡 交通支静脉 

分 类 号：R654.4[医药卫生—外科学]