论文部分内容阅读
目的评价腔内激光联合手术治疗下肢静脉曲张的安全性和有效性。方法 102例患者共137条患肢确诊为下肢浅静脉曲张,根据静脉曲张病情分别选择静脉腔内激光烧灼治疗或腔内静脉激光烧灼联合手术治疗。结果 137条患肢手术顺利完成,术后随访6～12个月过程中,大隐静脉主干及小腿局部条索或硬结75条患肢,皮下淤血31条患肢,小腿轻度皮肤灼伤3条患肢,下肢肿胀3条患肢,皮肤感觉异常,隐神经损伤1条患肢;全组无切口感染发生,无术后深静脉血栓形成及大隐静脉主干再通发生。4例患者出现浅静脉曲张复发,经再次激光治疗后治愈。结论腔内激光联合手术治疗下肢浅静脉曲张安全有效,但有一定的并发症发生率,仍需要进一步总结和改进。
Objective To evaluate the safety and efficacy of intracavitary laser combined with surgical treatment of varicose veins of the lower extremities. Methods A total of 137 limbs of 102 patients were diagnosed as superficial varicose veins of the lower extremity. Intravenous laser ablation or intra-venous laser cauterization was selected according to varicose veins. Results The operation of 137 limbs was successfully completed. During the follow-up period of 6 to 12 months, local saphenous vein or incision local cords or induration of 75 limbs, subcutaneous congestion of 31 limbs, calf mild skin burns 3 The affected limbs and lower extremities were swollen with 3 affected limbs, with abnormal skin sensation and saphenous nerve injury. All the patients had no incision infection and no postoperative deep vein thrombosis and recanalization of the saphenous vein occurred. Four cases of superficial varicose veins recurrence, cured by laser treatment again. Conclusion Intraluminal laser combined with surgical treatment of superficial varicose veins of lower extremities is safe and effective, but there is a certain complication rate, which still needs further summarization and improvement.