腔内钬激光治疗下肢静脉曲张

目的探讨腔内钬激光治疗下肢静脉曲张的操作要点、技术优势、临床效果及作用机理。方法对96例下肢静脉曲张患者(99条肢体)采用600μm钬激光光纤,通过介入方法进行腔内钬激光大隐静脉闭合术。患者术前、中、后进行多普勒超声检查。记录手术时间;观察临床效果及并发症。平均随访时间7个月。结果67条(68％)大隐静脉在术中即刻闭合,术后1周内99条大隐静脉全部闭塞。随访期内多普勒超声检查无血管再通现象。无创口感染。2例患者有轻度皮肤灼伤。1例患者隐神经损伤。3例患者有大腿瘀斑。结论腔内钬激光治疗下肢静脉曲张的临床初步结果满意,具有美观、简便、微创的特点。

Endovenous holmium laser treatment for varicose veins

Objective To discuss the technical pionts, advantages, follow-up results and mechanism of endovenous holmium laser treatment for varicose veins. Methods Endovenous holmium laser procedures were performed for 96 patients (99 legs) with primary varicosity of lower extremities. Perioperative Duplex was used for preoperative diagnosis,intraoperative guide and postoperative follow-up. The time of procedure and clinical results were observed. The mean follow-up time was 7 months. Results(Sixty-seven in) 99 legs with saphenous vein occluded immediately during operation. All saphenous veins were confirmed to be occluded 7 days after the procedure.There was no recanalization with Duplex finding during the follow-up period. No wound complications. Two cases were with minor skin burn. One case was with saphenous nerve injury. Three cases were with thigh ecchymosis. Conclusion Preliminary results show endovenous holmium laser treatment for varicose veins is safe and effective in treating varicose veins with cosmetic appearance and quicker recovery.