腔内激光治疗下肢静脉曲张并发症探讨

目的探讨经皮静脉腔内激光闭合术(endovenous laser treatment,EVLT)治疗下肢静脉曲张的手术并发症及防治方法。方法 265例共327条肢体腔内激光联合多种其他术式个体化治疗,术后对患者进行观察,分析其并发症。结果皮下淤斑180例(55%)、皮下可及条索状硬结58例(17.7%)、皮肤烧灼伤31例(9.5%)、曲张静脉残留23例(7.0%)、足踝部痛感19例(5.8%)、隐神经损伤16例(4.9%)、腹股沟切口淋巴漏1例(0.3%),经过相应处理后均得到缓解。结论腔内激光治疗是一种安全、有效、微创的术式,并发症少、轻,注意规范化操作可有效减少并发症的发生。

Complications of varicose veins of lower limbs after endovenous laser treatment

Objective To investigate varicose veins surgery complications and prevention after treatment of endovenous laser surgery （endovenous laser treatment EVLT）. Methods 265 cases（327 limbs）underwent EVLT combined with a variety of other surgical modality individualized treatment. The patients were observed and complications were analyzed. Results There were 180 cases of subcutaneous ecchymosis（55% ） ,58 cases subcutaneous availability of cord-hke induration（ 17.7% ） ,31 cases of skin burns（9.5% ） ,23 cases of varicose vein residues（7.0% ）,19 cases of ankle and foot pain（5.8% ）,16 cases of saphenous nerve injury（4.9% ）,1 case of groin incision lymphatic leakage（0.3% ）. After appropriate treatment all cases had been alleviated. Conclusion EVLT is a safe,effective,minimally invasive surgical procedures with fewer complications. Standardization of operation can effectively reduce the incidence of complications.