Department of Cardiothoracic and Vascular Surgery (CTVS), National Academy of Medical Sciences, Bir Hospital, Mahabauddha, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Mar 31;59(235):267-270. doi: 10.31729/jnma.6163.
Varicosity is the common problem of various etiology having simple limb aching to worst complications like oedema, ulcer, and skin changes. Minimal invasive endovenous laser therapy is a noble procedure. The aim of the study is to find out the recurrence of the varicose vein after laser therapy in a tertiary care center.
This descriptive cross-sectional study was done in 38 patients with varicosity of the lower limb in a tertiary care hospital, from January 2019 to June 2019 after taking ethical clearance from Institutional Review Committee. Convenience sampling was done. Data was collected and entry was done in Statistical Package for the Social Science software version 22, point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data.
We recorded 38 patients with ablated limb out of which none of the ablated veins showed recanalization in six months follow up. Twenty two (58%) patients were male and 16 (42%) patients were female with a mean age of 40.26 years. Major bulk, 23 (60.5%) resumed activity in second postoperative day and only 1 (2.6%) patient waited for 5 days for normal activity with mean of 2.58 days postoperatively. Sixteen (42.1%) patients developed erythema or ecchymosis, 12 (31.6%) patients had induration along the long saphenous vein course, 7 (18.4%) patients had paresthesia, 2 (5.3%) patients had limb swelling and 1 (2.6%) patient had skin burn.
Endovenous laser ablation has very low rate of recurrence of varicosity and has minor complications.
静脉曲张是一种常见的疾病，其病因多种多样，从轻到重的并发症包括肿胀、溃疡和皮肤变化。微创静脉内激光治疗是一种卓越的治疗方法。本研究的目的是在一家三级护理中心发现激光治疗后静脉曲张的复发情况。
本研究为描述性的横断面研究，在 2019 年 1 月至 6 月期间，在一家三级医院中，共对 38 例下肢静脉曲张患者进行了研究，在获得机构审查委员会的伦理批准后，采用便利抽样法。数据收集和录入均在 SPSS 22 版软件中完成，计算了 90%置信区间的点估计值，同时还计算了二进制数据的频率和比例。
我们记录了 38 例消融肢体的患者，在六个月的随访中，没有一条消融静脉出现再通。22 例（58%）为男性，16 例（42%）为女性，平均年龄为 40.26 岁。主要大块组织中，23 例（60.5%）在术后第二天恢复活动，只有 1 例（2.6%）患者在术后第 5 天等待正常活动，平均为 2.58 天。16 例（42.1%）患者出现红斑或瘀斑，12 例（31.6%）患者沿大隐静脉走行出现硬结，7 例（18.4%）患者出现感觉异常，2 例（5.3%）患者出现肢体肿胀，1 例（2.6%）患者出现皮肤烧伤。
静脉内激光消融术治疗静脉曲张的复发率非常低，且并发症较小。
