文档介绍:静脉腔内激光术治疗大隐静脉曲张的临床疗效观察
郑新闻毛天敏
(河南省三门峡市中心医院普外一科 472000)
【摘要】目的评价静脉腔内激光术治疗大隐静脉曲张的临床价值。方法回顾2009年8月至2013年9月间有症状的100例(103条肢体)接受静脉腔内激光术的患者(激光组)与同期90(100条肢体)分段抽剥术患者(抽剥组)的随访资料,比较两组患者术后深静脉血栓形成、神经损伤、症状改善、复发,恢复正常活动时间等。结果:两组患者在术后深静脉血栓形成无显著差异(P>),静脉腔内激光术后神经损伤发生率低(P<)、症状改善明显(P<)、恢复正常活动时间短(P<),但静脉腔内激光术后复发比率较抽剥术高(P<)。结论:静脉腔内激光术治疗大隐静脉曲张术后恢复快、并发症发生率低,但有一定的复发率。
【关键词】大隐静脉曲张静脉腔内激光抽剥术
【中图分类号】R454 【文献标识码】A 【文章编号】1672-5085(2014)17-0110-02
Clinical efficacy of endovenous laser treatment of varicose great saphenous
Zheng Xinwen Mao Tianmin
General Surgery, Central Hospital of Henan Sanmenxia 472000
【Abstract】Objective To evaluate the clinical value of EVLT treatment of saphenous varicose veins. Methods between August 2009 to September 2013 100 patients with symptomatic patients (103 limbs) received endovenous laser surgery (laser group) with the same period 90 (100 limbs) segmentation and stripping surgery patients (pumping stripping group) follow-up data, paring the two groups of patients with deep vein thrombosis, nerve damage, symptoms, recurrence, time to resume normal activities. Results: The two groups were formed in the
postoperative deep vein thrombosis was no significant difference(P>), endovenous laser low incidence of postoperative nerve damage(P<), symptoms improved significantly(P<), resume normal activities a shor