静脉腔内激光术治疗下肢静脉曲张的临床研究  

Clinical research of intravenous laser treatment for varicose of lower limbs

作　　者：张精勇[1] 金星[1] 吴学君[1] 种振岳[1] 张十一[1] 董文尧[1] 田鹏[1] 

机构地区：[1]山东省立医院血管外科,山东济南250021

出　　处：《中国普通外科杂志》2004年第1期12-15,共4页China Journal of General Surgery

摘　　要：目的　研究和评价静脉腔内激光治疗下肢静脉曲张的临床效果。方法　采用激光治疗仪以静脉腔内激光技术结合手术的方法治疗下肢静脉曲张患者 98例 (共 118条患肢 ) ,结合静脉超声、及病理检查 ,对比观察患者术前、术后临床症状和体征。结果　回访的 84例 10 4条肢体中 87条肢体 (83 .7% )下肢酸胀、沉重完全消失 ,11条 (10 .6% )有不同程度的减轻 ;44条小腿皮肤色素沉着者中明显减轻者 3 7条 (84.1% )。浅静脉曲张全部消失。静脉超声示治疗后 10 1条肢体 (97.1% )浅静脉无血流信号 ,3条肢体 (2 .9% )可见缓慢血流信号。病理检查显示血管内、中、外膜均呈不同程度的变性、坏死 ,平滑肌细胞断裂 ,细胞核固缩明显 ,内、外弹性膜断裂、模糊消失 ,管壁及管腔无炎性细胞浸润。ObjectiveTo evaluate the effect of varicose vein of lower limbs treated by intravenous laser treatment .MethodIntravenous laser apparatus combin ation with operation was used to treat the varicose vein of the lower extremi ties in 98 patients(all 118 legs).The change of symptoms and signs were recorded and compared before and after operation by using venous ultrasonagraphy and pa thological examination to evaluate the treatment effect.ResultsIn the 84 followed up patieats (104 compromised legs),dull,heaviness were rel ieved completely after operation in 87 legs(83.7%),decreased in 11 legs(10.6%); skin pigmentation obviously decreased in 37 of 44 legs(84.1%);superficial varic ose vein disappeared in all the patients.No blood flow signal was detected in 10 1 legs(97.1%) and slow blood flow in 3 legs(2.9%) were detected by ultrasounogr aphy.Pathological examination revealed various degeneration and necrosis in ful l layers of the vessels;and smooth muscle cells were disrupted,cell nucleus bec ame pyknotic, the internal and external elastic laminar were ruptured and no inflammatory cell infiltration in the lumen and wall of the vessels were seen .ConclusionsIntravenous laser treatment is an ideal method in the treatment of varicose vein of lower extremities .

关 键 词：血栓性静脉炎 治疗 激光 治疗应用 

分 类 号：R714.625[医药卫生—妇产科学] R454.2[医药卫生—临床医学]