腔内电凝联合手术治疗下肢静脉功能不全46例疗效分析

目的: 观察腔内电凝联合手术治疗下肢静脉功能不全的临床疗效。方法: 电凝联合大隐静脉高位结扎术12例(16肢);电凝治疗联合大隐静脉高位结扎术、股浅静脉瓣膜包瓣术14例(14肢);电凝治疗联合大隐静脉高位结扎术、电视内镜下交通支静脉夹闭术18例(18肢);电凝治疗联合大隐静脉高位结扎术、股浅静脉瓣膜包窄术及电视内镜下交通支静脉夹闭术2例(2肢)。结果: 随访2~48个月,46例均疗效满意,恢复正常的生活或工作,无局部复发。结论: 腔内电凝治疗安全、微创、疗效好,操作简便,联合手术治疗时,可扩大治疗应用范围。

Therapeutie effect of venous insufficiency in the lower limbs by combination endovenous electrocoagulation and vascular surgery:A report of 46 cases

Objective:To evaluate results of endovenous treatment of superficial varicosities in lower extremities with fulguration.Methods:Endovenous fulguration therapy combined with high ligation of great saphenous vein in 16 limbs of 12 patients;endovenous fulguration therapy combined with external banding valvuloplasty of superficial femoral vein and high ligation of great saphenous vein in 14 limbs of 14 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein and perforator(s) through video assisted endoscopy in 18 limbs of 18 patients;endovenous fulguration therapy combined with high ligation of great saphenous vein,external banding valvuloplasty of superficial femoral vein and perforator(s) through video assisted endoscopy in 18 limbs of 18 patients.Results:All patients were followed up from 2 to 27 months(mean 6.12 months) with satisfactory results.No recurrence was observed.Conclusions:Endovenous fulguration therapy is a therapeutic entity with advantages of safety,effectiveness,minimal invasiveness,easy technology and without any scar.It can be used in combination with surgery as well.