摘要
目的 总结静脉腔内激光治疗（endovenous laser treatment,EVLT）下肢静脉曲张的疗效和术后并发症。方法 2003年10月～2006年2月,对450例（606条肢体）下肢静脉曲张采用发射功率为15～22 W的940 nm激光连续发射模式治疗,术后定期彩超随访疗效。结果 随访2～29个月,平均16个月。448例疗效满意,曲张静脉消失,下肢酸胀沉重感觉明显改善。术前下肢伴有活动性溃疡49例中,44例手术后10天内愈合,5例术后16天愈合。5例皮肤灼伤患者7天出院。彩超复查5条（0.8%）患肢静脉部分再通,再次穿刺激光治疗。结论 EVLT是治疗下肢静脉曲张的全新微创手术,安全有效,操作简单,适合传统手术治疗者均可采用,尤其适合静脉曲张较轻患者。
Objective To evaluate the efficacy of endovenous laser treatment （EVLT） in the treatment of varicose veins in lower limbs. Methods A total of 450 cases of varicose veins in lower limbs （606 limbs） received EVLT with 940 nm diode laser under a continuous mode from October 2003 to February 2006. All the patients were evaluated with color ultrasonography after the operation. Results The follow-up duration was 2 -29 months （mean, 16 months）. Satisfactory effects were achieved in XXX cases, with varicose veins subsided and sense of swelling and heaviness significantly relieved. In 49 cases accompanying active ulcers before operation, the ulcer healed within 10 days after operation in 44 cases and within 16 days in 5 cases. Five cases experiencing a heat injury were dismissed from hospital on the 7th day after operation. Conclusions EVLT is a minimally invasive operation possessing safety, simple performance, and effectiveness, and without leaving any scar. It is an ideal method in the treatment of varicose veins of lower limbs.
出处
《中国微创外科杂志》
CSCD
2007年第7期617-618,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
下肢
静脉曲张
激光治疗
Lower extremity
Varicose vein
Laser treatment
