摘要
目的评价腔内激光处理联合大隐静脉高位结扎治疗下肢深静脉功能不全的疗效。方法下肢浅静脉曲张患者64例75条肢体,根据术前股浅静脉第一对瓣膜反流时间长短分为轻度反流(40条)、重度反流两组(35条)。所有病例均采用浅静脉腔内激光处理联合大隐静脉高位结扎治疗。比较术前与术后4～6个月的反流时间,以临床-病因-解剖-病理生理(clinical-etiological-anatomical-pathophysiological,CEAP)修正法临床症状评分法评价治疗效果。结果术后反流时间的变化:轻度反流组术后反流时间小于0.5s者26例,治愈率65.0%,好转11例,总有效率92.5%。重度反流组术后反流时间小于0.5s者7例,治愈率20.0%,有效24例,总有效率88.5%,无效4例。所有病例临床症状评分均明显下降。结论腔内激光处理联合大隐静脉高位结扎治疗下肢深静脉功能不全疗效确切,但对于深静脉重度反流者应加行深静脉重建手术。
Objective To evaluate the clinical results of deep venous insufficiency after using endovenous laser treatment of superficial varicosities.Methods Totally 75 limbs with superficial varicosities underwent endovenous laser treatment with high level ligation and were divided into two groups by the blood reflux times of the first superficial femoral vein valve.The reflux times and scores of modified CEAP before and after surgery were recorded.Results The reflux times below 0.5 s, reductions of reflux times above 0.5 s, and no reductions of the times were 26（ 65%）, 11（27.5%） and 3（7.5%） in mild group vs 7（20%）, 24（68.5） and 4（11.5%）in severe group. The scores of modified clinical-etiological-anatomical-pathophysiological （CEAP） were clearly decreased in all cases.Conclusions Improvement of deep venous insufficiency is evident after using endovenous laser treatment of superficial varicosities. But deep veins reconstruction should be advised in the patients with severe blood reflux of deep femoral vein.
出处
《中国激光医学杂志》
CAS
CSCD
2010年第2期88-91,共4页
Chinese Journal of Laser Medicine & Surgery
关键词
静脉曲张
激光
深静脉功能不全
Superficial varicosities
Laser
Deep venous insufficiency
