腔内激光闭合术结合高位结扎和点状抽剥治疗大隐静脉曲张

Endovenous laser combined with high ligation and punctate stripping for treatment of great saphenous varicosity

摘要: 目的:观察腔内激光闭合术结合高位结扎和点状抽剥治疗单纯大隐静脉曲张的疗效。方法:对采用腔内激光闭合术结合高位结扎和点状抽剥治疗的8例(11肢)大隐静脉曲张患者的疗效进行回顾性分析。结果:8例手术效果均满意,近期临床症状消失;随访1~7个月,无复发及下肢肿胀。2肢有胫前皮肤烧灼伤,1肢皮下淤斑。结论:腔内激光闭合术联合高位结扎和点状抽剥术治疗大隐静脉曲张疗效确切,并发症少,是安全可靠的微创治疗方法。

Abstract: Objective: To observe the therapeutic effect of endovenous laser treatment (EVLT) combined with high ligation and punctate stripping on simple great saphenous varicosities. Methods: The data of 8 patients (11 lower limbs) who had received EVLT plus high ligation and punctate stripping were retrospectively analyzed. Results: The outcome was satisfactory in all the cases,and the recent symptoms disappeared. No relapse of varicose vein or lower limb swelling was observed during the follow-up of 1-7 months. Two cases (2 lower limbs) had thermal burns of anterior tibial skin and 1 case (1 lower limb) subcutaneous ecchymosis. Conclusions: EVLT combined with high ligation and punctate stripping has affirmed effect in treatment of great saphenous varicosity with the advantage of few complications. It is a safe and reliable minimally invasive therapy.