摘要
目的评价下肢静脉曲张腔内激光治疗(EVLT)的疗效及并发症.方法对 53例下肢静脉曲张患者计67条肢体施行了EVLT,其中7条肢体因原发性深静脉瓣膜功能不全同时施行了股浅静脉壁环形缩窄术.全部患者手术前后均行光电容积描记(PPG)和彩色多普勒超声检查进行对比.结果经0.5～1年随访,所有患者无疼痛、酸胀感、肢体肿胀、曲张静脉消失,经光电容积描记检查均无返流,彩色多普勒超声检查曲张静脉全部闭塞、无血流信号.其中2例出现术后皮肤轻度灼伤.结论 EVLT治疗下肢静脉曲张具有创伤小、疗效好、恢复快、副作用少、操作简单、无瘢痕等优点.
Objective To evaluate efficacy and side effects of endovenous laser treatment (EVLT) for lower extremity varicose veins. Methods Sixty seven limbs in 53 patients with varicose vein underwent EVLT in our department between June 2002 and March 2004, 7 limbs of them with an additional external banding valvuloplasty of superficiall femoral vein because of primary lower extremity deep vein valve insufficiency. The patients were evaluated clinically and with color Doppler and photoplethysmography (PPG) at 1 week, 1 month, 6 months to assess treatment efficacy and adverse reactions. Results All patients were followed up for 0 5～1 years, successful occlusions of varicose veins with no recurrence were observed. Skin burns were the most common side effect of EVLT, found in 2 patients. There had no bruising, paresthesias or case of deep vein thrombosis. Conclusion EVLT is a simple and effective treatment for lower extremity varicose veins with lower rates of complications and recurrences.
出处
《安徽医科大学学报》
CAS
北大核心
2005年第1期78-79,共2页
Acta Universitatis Medicinalis Anhui
