Department of Interventional Radiology, School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
Cardiovasc Intervent Radiol. 2010 Oct;33(5):983-8. doi: 10.1007/s00270-009-9784-3. Epub 2009 Dec 25.
The purpose of this study was to investigate the safety and efficacy of endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency occurring after saphenous vein ligation and stripping. A single-center retrospective review of patients who received endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency after ligation and stripping between November 2003 and October 2006 was performed. Fifty-six insufficient saphenous systems were identified in 38 patients. Follow-up consisted of a clinical examination in all patients as well as selective lower-extremity duplex ultrasound as clinically indicated. All 38 patients demonstrated complete closure of the insufficient saphenous vein by clinical examination and/or duplex ultrasound evaluation. Preoperative symptoms resolved after treatment in all 38 patients. No major complications were identified. Endovenous laser ablation of recurrent symptomatic saphenous venous insufficiency is a safe and effective treatment in patients who develop recurrent symptoms after saphenous vein ligation and stripping.
本研究旨在探讨静脉内激光消融术治疗大隐静脉结扎和剥脱术后复发症状性大隐静脉功能不全的安全性和有效性。对 2003 年 11 月至 2006 年 10 月期间因大隐静脉结扎和剥脱术后复发症状性大隐静脉功能不全而接受静脉内激光消融术治疗的患者进行了单中心回顾性研究。在 38 例患者中发现了 56 个功能不全的大隐静脉系统。所有患者均进行临床检查，根据临床需要选择性进行下肢双功能超声检查作为随访。所有 38 例患者均通过临床检查和/或双功能超声评估证实功能不全的大隐静脉完全闭塞。38 例患者的术前症状均在治疗后得到缓解。未发现重大并发症。静脉内激光消融术治疗大隐静脉结扎和剥脱术后复发症状性大隐静脉功能不全是一种安全有效的治疗方法，适用于大隐静脉结扎和剥脱术后出现复发症状的患者。
