腔内激光术联合聚桂醇治疗下肢静脉曲张的体会

目的探讨腔内激光联合聚桂醇治疗下肢静脉曲张的疗效。方法选择2013年5月至2013年12月收治的下肢静脉曲张患者33例(49条患肢),应用腔内激光闭合大隐静脉主干,聚桂醇栓塞小腿浅表曲张血管,观察其疗效。结果患肢酸胀感消失或明显减轻,浅静脉曲张消失,无皮肤灼伤,无隐神经损伤,无深静脉血栓形成。随访5¹2个月4例(8.16%)出现小腿局部静脉曲张复发,予门诊注射少量聚桂醇后消失。结论腔内激光联合聚桂醇治疗下肢静脉曲张微创、安全、有效,优势互补。

Intracavity Laser Surgery Combined together Lauromacrogol Treatment of Lower Extremity Varicose Veins

Objective To explore the intraeavity laser combined together lauromacrogol curative effect for the treatment of lower extremity varicose veins. Method Selection from May 2013 to December 2013 were 33 patients with lower extremity varicose veins （article 49 limb）, application of laser cavity closure great saphenous vein trunk, lauromaerogol embolization crus superficial veins blood vessels, observe its curative effect. Result Limb acid bilges feeling disappear or reduce obviously, shallow varicose veins disappeared, no skin bums, saphenous nerve injury, no deep vein thrombosis. 4 cases were followed up for 5-12 months （8.16%） in local recurrence of varicose veins; leg to oulpatient disappears after injection of a small amount of lauromacrogol. Conclusion Intracavity laser combined together lauromacrogol treatment of varicose veins of lower extremities minimally invasive, safe, effective, complementary advantages.