[大隐静脉腔内激光联合结扎剥脱术治疗静脉曲张]

[Endovenous laser combined with ligation and striping therapy for varicose saphenous].

作者信息

Ye Wei, Liu Chang-Wei, Guan Heng, Liu Bao, Li Yong-Jun, Zheng Yue-Hong, Wang Sheng, Li Wei-Jun

机构信息

Department of Vascular Surgery, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2006 Jun;28(3):457-9.

PMID:16900657

Abstract

OBJECTIVE

To evaluate the curative effect of the combination of endovenous laser treatment of varicose saphenous vein (ELVS) and classic ligation and stripping treatment.

METHODS

We retrospectively analyzed the clinical data of 21 patients with varicose saphenous vein (VS) who were treated with ELVS alone or combined with ligation and stripping in our hospital.

RESULTS

All the patients got good therapy result. The early symptom relief rate was 82.4%, while the late symptom relief rate was 100%. No infections, haematoma of wound, and any other major complications were reported. The common complications included pain induced by remains of the thrombosis phlebitis (n = 2, 11.7%), minor skin burn (n = 1, 5.9%), residue vein varicose (n = 1, 5.9%), numbness of the calf (n = 1, 5.9%), and mild peri-phlebitis (n = 1, 5.9%). All the complications were resolved after proper management. The 1-year follow-up showed no recurrence.

CONCLUSION

The combination of ELVS and classic ligation and stripping is safe and effective in the treatment of varicose saphenous.

摘要

目的

评估大隐静脉腔内激光治疗（ELVS）联合经典结扎剥脱术的疗效。

方法

回顾性分析我院21例单纯接受ELVS治疗或联合结扎剥脱术治疗的大隐静脉曲张（VS）患者的临床资料。

结果

所有患者治疗效果良好。早期症状缓解率为82.4%，晚期症状缓解率为100%。未报告感染、伤口血肿及任何其他严重并发症。常见并发症包括血栓性静脉炎残留引起的疼痛（2例，11.7%）、轻微皮肤灼伤（1例，5.9%）、残留静脉曲张（1例，5.9%）、小腿麻木（1例，5.9%）和轻度静脉周围炎（1例，5.9%）。经适当处理后所有并发症均得到解决。1年随访未发现复发。