Myers K A, Clough A, Tilli H
Victoria Vein Clinic, Melbourne, Australia.
Phlebology. 2013 Jun;28(4):180-3. doi: 10.1258/phleb.2011.011088. Epub 2013 May 6.
The purpose was to determine whether endovenous laser ablation (EVLA) could be used to treat major varicose tributaries as well as saphenous veins.
From 173 major venous systems in 95 patients treated by EVLA over a 12-month period, 108 had major varicose tributaries, of which 78 (70%) were treated by attempted EVLA of the saphenous veins and associated tributaries.
Treatment was successful in 71 venous segments (83%). The lengths of saphenous veins treated were 3-46 (median 18) cm. and the lengths of tributaries treated were 3-38 (median 14) cm. The diameters of treated saphenous veins were 4-10 (median 6) mm, and the estimated mean diameters of treated tributaries were 3-8 (median 5) mm, as measured prior to operation with the patient in 45° reverse Trendelenburg on a tilt table. There were no early or delayed complications.
Major varicose tributaries as well as the saphenous veins can be treated by EVLA in approximately two-thirds of cases, with success in the majority selected and with no significant complications.
旨在确定静脉腔内激光消融术（EVLA）是否可用于治疗大隐静脉属支以及大隐静脉。
在12个月期间，对95例接受EVLA治疗的患者的173个主要静脉系统进行研究，其中108个存在大隐静脉属支，其中78个（70%）通过对大隐静脉及其相关属支尝试进行EVLA治疗。
71个静脉节段（83%）治疗成功。治疗的大隐静脉长度为3 - 46（中位数18）厘米，治疗的属支长度为3 - 38（中位数14）厘米。治疗前在倾斜台上让患者处于45°反向特伦德伦伯格体位时测量，治疗的大隐静脉直径为4 - 10（中位数6）毫米，治疗的属支估计平均直径为3 - 8（中位数5）毫米。无早期或延迟并发症。
在大约三分之二的病例中，大隐静脉属支以及大隐静脉均可通过EVLA进行治疗，大多数选择的病例治疗成功且无明显并发症。
