血管腔内激光治疗下肢浅静脉曲张

目的研究和评价静脉腔内激光治疗下肢浅静脉曲张的临床效果。方法采用激光治疗仪行静脉腔内激光治疗下肢浅静脉曲张患者96例(共102条患肢),对比观察患者术前、术后症状和体征。结果96例患者临床症状消失,随访期间无复发。结论静脉腔内激光治疗术是治疗下肢浅静脉曲张的理想方法。     

腔内激光治疗下肢浅静脉曲张的护理体会

下肢浅静脉曲张是外科常见病,近年来,随着微创技术的发展,静脉腔内激光治疗术（EVLT）由于具有微创、美观、彻底三大特点在国内外已广泛开展。本院2006年10月至2008年12月,对52例下肢浅静脉曲张患者行腔内激光治疗术,结合术前、术后的精心护理,均取得了良好的临床效果。现将护理要点总结如下。     

腔内激光治疗下肢浅静脉曲张

下肢浅静脉曲张是常见病，传统手术治疗有一定风险，术后遗留皮肤疤痕，且不能避免复发。随微创技术的发展，腔内激光手术治疗取得了更好的疗效。其安全、有效、微创、操作简便和不遗留手术瘢痕等优势，为这一技术的广泛应用提供了良好的前景。     

小切口治疗下肢浅静脉曲张

目的 评价小切口治疗下肢浅静脉曲张的临床效果。方法 1997年11月至2001年4月,对95例106条下肢浅静脉曲张,施行经小切口剥脱曲张的静脉和结扎交通支静脉,术前均作下肢静脉顺行造影和多普勒听诊辅助指压检测确定静脉瓣膜功能不全的部位。结果 下肢静脉造影显示,深静脉逆流0级62条,I级28条,Ⅱ级16条下肢。多普勒听诊检测显示,隐-腘静脉瓣膜功能不全99条(93．3％),隐-腘静脉瓣膜功能不全5条(4．7％),106条下肢小腿浅静脉有不同程度血液返流。全组患术后切口均工期愈合,平均术后住院时间为2．8天;随访(1～30)个月,无一例复发。结论 术前无创多普勒听诊精确定位,小切口治疗下肢浅静脉曲张,方法简便,痛苦小,康复快,外表美观,治疗费用低。     

激光和电凝术微创治疗下肢静脉曲张的临床疗效分析

目的 探讨激光和电凝术微创治疗下肢静脉曲张的临床疗效。方法 对126例下肢静脉曲张病人（169条肢体）均采用静脉腔内激光和电凝术治疗，对其临床资料加以整理及分析。结果 平均手术时间为25min，平均随访时间为6个月，169条大隐静脉主干全部闭锁，曲张的静脉消失，其中9例患者电凝术处有轻度皮肤灼伤，4例有大腿瘀斑，4例有区段性复张，2例患者出现隐神经损伤，所有患者无严重并发症。结论 激光与电凝术的联合应用达到了大隐静脉的微创化治疗，简便、美观、疗效满意。     

静脉腔内激光治疗下肢浅静脉曲张112例

目的：探讨静脉腔内激光治疗下肢浅静脉曲张的安全性和有效性。方法：回顾分析112例（124条肢体）下肢浅静脉曲张患者应用半导体激光治疗仪的临床治疗效果及近期随访结果。结果：患者术后均恢复良好,临床症状消失,经1～18个月随访观察,治疗静脉均完全闭塞,无复发。结论：静脉腔内激光治疗下肢浅静脉曲张是安全、美观、疗效可靠的一种治疗方法。     

中国下肢浅静脉曲张微创治疗的发展现状

下肢浅静脉曲张(varicose veins)是血管外科的常见病,主要是下肢浅表静脉出现扩张,表现为团块状或者蚓状的静脉团,严重时可能出现肢体水肿、色素沉着、湿疹或静脉性溃疡。发生病变的主要血管为大隐静脉或小隐静脉,成年人中的发病率一般为20%~40%[1]。对于单纯性静脉曲张,传统的治疗方法是高位结扎和抽剥术、缝扎术;若合并交通静脉或深静脉病变,可以行交通静脉结扎或深静脉瓣膜重     

静脉腔内激光联合手术治疗下肢静脉曲张

目的初步评价腔内激光联合手术治疗下肢静脉曲张的疗效。方法全组下肢静脉曲张患者28例，共38条下肢。按病因和病情的不同，采用3种手术治疗：（1）临床表现明显的原发性下肢深静脉瓣膜功能不全者4条下肢，作股浅静脉瓣膜包窄＋大隐静脉高位结扎＋EVLT＋SEPS术；（2）轻度原发性深静脉瓣膜功能不全者15条下肢，作大隐静脉高位结扎＋EVLT＋SEPS；（3）单纯性大隐静脉曲张者19条下肢，作大隐静脉高位结扎＋EVLT。结果平均随访11个月，全组患者均无复发；临床症状和体征消退或好转，彩超检查示大隐静脉均全程闭合，无血流信号。结论EVLT具有无创、安全、操作简便和疗效良好的优点，联合手术治疗下肢静脉病变的效果满意。     

血管腔内激光治疗下肢浅静脉曲张的初步观察

我院从2003年6～11月，应用DIOMED 810nm激光结合手术治疗下肢浅静脉曲张21例，近期疗效满意，报道如下。1临床资料 1．1一般资料21例中男8例，女13例，平均年龄55．23岁(31～73岁)，平均病程15．26年(5．5～40年)，共27条肢体。患肢均有浅静脉曲张；下肢肿胀13条；有不同程度色素沉着11条；溃疡或溃疡已经愈合4条。原发性深静脉瓣膜功能不全8例11条肢体，单纯性大隐静脉曲张13例16条肢体。经彩色多普勒超声检查，均存在浅静脉返流。16例行下肢浅、深静脉顺行造影，发现深静脉Ⅱ度以上返流8例，共11条肢体。     

中西医结合微创治疗下肢浅静脉曲张

目的：探讨中西医结合微创治疗下肢浅静脉曲张的安全性和有效性。方法：117例（179条肢体）下肢浅静脉曲张,股部小切口行大隐静脉高位结扎,810nm激光治疗仪行曲张静脉腔内激光闭合术,中药消痔灵曲张静脉局部注射。结果：患者均恢复良好,临床症状消失,静脉完全闭塞。结论：中西医结合微创治疗下肢浅静脉曲张具有操作简便、创伤小、术后美观、疗效确切优势。     

532-nanometer green laser beam treatment of superficial varicosities of the lower extremities

Green laser light at 532 nm was utilized in an attempt to thrombose and blanch superficial varicosities of the lower extremity in 14 patients. Selective vascular damage with sparing of overlying skin was the theoretical rationale for use of green light. Seven of the 14 patients achieved satisfactory results (total or near-total obliteration of vessels without scarring) after a 6-month period of observation.     

Improvement of surgical methods and techniques in the treatment of varicosities of the lower extremities

The authors have devised a technique of consecutive performing the steps of operative interventions for varicose disease of lower extremities. The method includes extirpation after Babcock of the main trunks of the large and, if necessary, the small subcutaneous veins with the help of a spiral-shaped device; preliminary percutaneous-supracutaneous temporary ligation with kapron of sinuous lateral superficial veins; subcutaneous dissection of ligated veins between ligatures with minimal blood loss. For this purpose a phlebotom of simple construction in the shape of a clamp was used. One of its jaws was a cutting element with a point and cutting edge. The instruments proposed allow to make the technique easier, to avoid excessive traumatization of the tissues and to achieve stable obliteration of the injured veins. Recurrence of the disease was noted in 3.5% out of 145 patients with varicose disease within 1-8 years.     

Contrastless venography in the diagnosis of varicosities of the subcutaneous veins of the lower extremities

The results of the use of non-contrast venography in a surgical clinic on 38 patients with chronic venous defficiency and on 45 patients suspected of varicosis are generalized in this article. The obtained findings allow to recommend this method as a part of a complex examination of patients with various venous pathology of the lower extremities. Non-contrast venography method is described in this paper.     

Ambulatory treatment of fractures of the lower extremities

In this article we have discussed (1) the importance of keeping the patient out of bed in the treatment of fractures, (2) statistics of patients with fractures of the lower limbs treated ambulatorily, and (3) the technic of treating such fractures.     

Complex treatment of varicosity of the lower extremities

Over 10 years 1296 patients with an uncomplicated form of varicose disease were treated with compressive sclerotherapy before surgery. Sclerotherapy was performed as the first stage of complex treatment in combination with various surgeries. Over the last 5 years Doppler ultrasound study and coloured angioscanning were carried out in each patient before treatment. There were a total 1457 surgeries. The majority of the patients (916) were examined 4 months to 6 years postoperatively. The results of the treatment were good in 91.6% patients, the rate of recurrence after surgery did exceed not 4.03%. This complex therapy enhances the cosmetic effect and shortens the time treatment without loss for radicality.