剥脱联合腔内激光治疗大隐静脉曲张

目的:探讨剥脱术联合腔内激光治疗大隐静脉曲张的疗效.方法:回顾性分析2006年4月-2009年3月采用大隐静脉的大腿段剥脱联合小腿段激光腔内治疗的128例患者(176条肢体)的临床资料.结果:全组患者手术效果满意,症状缓解率100％,无伤口感染、下肢深静脉血栓形成等.近期并发症为胫前皮下淤血或小血肿12肢(6.8％),皮肤条状烧伤2肢(1.1％),浅静脉周围炎12肢(6.8％),踝部水肿2肢(1.1％)；无胫前麻木感,无远期严重并发症；3年内无静脉曲张复发.结论:剥脱术联合腔内激光治疗大隐静脉曲张疗效确切,并发症少,是安全可靠的微创治疗方法.

Endovenous laser ablation combined with stripping for great saphenous varicose veins

Objective:To evaluate the efficacy of endovenous laser ablation combined with stripping for varicosities of the great saphenous vein(GSV). Methods:The clinical data of 128 patients(176 affected limbs) with GSV varicosities,who underwent thigh GSV stripping plus calf GSV endovenous laser ablation from April 2006 to March 2009,were retrospectively analyzed. Results:The operation results were satisfactory in all patients,and the symptom improvement rate was 100% without wound infection or deep venous thrombosis.The short-term complications included pretibial bruising and/or hematoma(12 limbs,6.8%),strip skin burns(2 limbs,1.1%),superficial periphlebitis(12 limbs,6.8%),and ankle edema(2 limbs,1.1%).No paresthesia or long-term complications were noted,and no recurrent varicose veins occurred during the 3-year follow-up period. Conclusion:Endovenous laser ablation combined with vein stripping has demonstrable efficacy and fewer complications in treatment of GSV varicosities,and is a safe,reliable,and mini-invasive procedure.