摘要
目的总结多种微创手术（腔镜超声刀穿通静脉离断、钬激光灼闭及Trivex动力旋切术）联合治疗老年人下肢静脉曲张的早期疗效，评价微创手术在老年下肢静脉曲张患者中的应用价值。方法回顾性分析71例（104条肢体）行微创手术治疗的老年下肢静脉曲张患者的临床资料，观察手术效果、术后并发症、随访复发率等指标。结果71例均治愈。切口平均愈合时间4．3d，术后平均住院时间4．8d，18例（29．5％）术后出现不同程度的并发症，经相应治疗后均痊愈或缓解。术后随访1～6个月，未见复发。结论下肢静脉曲张微创手术具有安全、有效、适应证广、创伤小、恢复快、住院周期短的优点，尤其适合老年患者。
Objective To investigate the therapeutic effect of mini-invasive techniques including endovenous holmium laser treatment, endoscopic subfascial perforator vein surgery using ultrasonic scalpel and transilluminated powered phlebectomy for varicose veins of lower extremity in the elderly, and to evaluate the application of the mini-invasive surgery in elderly patients. Methods Seventy-one patients （104 limbs） were treated with selected mini-invasive techniques. The preoperative complications, time of incision healing, postoperative hospital stay, postoperative complications and recurrence rate were analyzed. Results Patients were all cured. The average time of incision healing was 4.3 days, the average hospitalization period was 4.8 days. Eighteen patients （29.5%）had postoperative complications, which were cured or relieved after certain treatments. All patients were followed-up for 1-6 months and no recurrence was observed. Conclusions As a safe, effective, mini-invasive treatment with wide indications, the mini-invasive surgery for low extremity varicose is suitable for elderly patients.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2007年第2期110-112,共3页
Chinese Journal of Geriatrics
关键词
静脉曲张
外科手术
微创性
老年人
Varicose veins
Surgical procedures, minimally invasive
