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静脉腔内激光消融术是治疗青少年大隐静脉功能不全的一种有效方法。

Endovenous laser ablation is an effective treatment for great saphenous vein incompetence in teenagers.

作者信息

Terlecki Piotr, Przywara Stanislaw, Iłżecki Marek, Terlecki Karol, Kawecki Piotr, Zubilewicz Tomasz

机构信息

Department of Vascular Surgery and Angiology, Medical University Lublin, Lublin, Poland.

Department of Vascular Surgery and Angiology, Medical University Lublin, Lublin, Poland

出版信息

Phlebology. 2016 Apr;31(3):198-202. doi: 10.1177/0268355515585436. Epub 2015 May 4.

Abstract

OBJECTIVES

The current knowledge of chronic venous disease in teenagers and its treatment is very limited. The aim of the study is to present our experience and the available literature data on the treatment of varicose veins in teenagers with endovenous laser ablation of the great saphenous vein.

METHODS

Five patients, aged 15-17 years, were qualified for surgery, based on typical signs and symptoms of chronic venous disease. Minimally invasive treatment with endovenous laser ablation of the great saphenous vein was applied.

RESULTS

The technical success of surgery was achieved in all patients. Over a 2-year follow-up we did not observe any case of recanalisation of the great saphenous vein, recurrence of varicose veins, or serious complications, such as deep vein thrombosis or pulmonary embolism. One patient presented with resolving of post-operative bruising, and two cases of local numbness were transient.

CONCLUSIONS

Endovenous laser ablation of the great saphenous vein in the treatment of chronic venous disease in teenagers is effective and safe. The method provides excellent cosmetic effects, very short recovery time and high levels of patient satisfaction.

摘要

目的

目前关于青少年慢性静脉疾病及其治疗的知识非常有限。本研究的目的是介绍我们在青少年大隐静脉腔内激光消融治疗静脉曲张方面的经验以及现有文献数据。

方法

基于慢性静脉疾病的典型体征和症状,五名年龄在15至17岁的患者符合手术条件。采用大隐静脉腔内激光消融的微创治疗方法。

结果

所有患者手术均取得技术成功。在为期两年的随访中,我们未观察到大隐静脉再通、静脉曲张复发或严重并发症(如深静脉血栓形成或肺栓塞)的任何病例。一名患者术后瘀斑消退,两例局部麻木为短暂性。

结论

大隐静脉腔内激光消融治疗青少年慢性静脉疾病有效且安全。该方法具有出色的美容效果、极短的恢复时间和较高的患者满意度。

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