静脉腔内激光联合高位结扎治疗下肢静脉曲张的近期疗效观察

目的比较静脉腔内激光术联合高位结扎治疗下肢静脉曲张的近期疗效。方法随机调墩既往符合纳入与排除标准的100例下肢静脉曲张患者，依据手术方法分为静脉腔内激光＋高位结扎组50例和单纯静脉腔内激光术组50例。比较两组的手术时间、术后疼痛、住院时间、切口数量、并发症及术后近期复发率（12个月）。结果随访结果表明。静脉腔内激光＋高位结扎组50例患者在手术时间、术后疼痛、住院时间方面与单纯静脉腔内激光术组比较差异无统计学意义（P〉0.05）。而在切口数量和并发症方面后者略优于前者，差异有统计学意义（P〈0．05），在术后近期复发率方面前者明显优于后者，差异具有统计学意义（P〈0．05）。结论静脉腔内激光＋高位结扎术在术后复发率方面明佩低于单纯激光组，具有安全性更高、效粜满意、实用性更强等特点，具有临床推广价值。

The LVET combined with high ligation for lower extremity varicose vein

Objective To compare the clinical results of endovenous laser treatment （LVET） combined with high ligation for lower extremity varicose vein. Methods Randomly draw on 100 patients, they conform into standard and exclusion criteria, according to the operation method is divided into The LVET combined with high ligation gwup （50 cases） and LVET group （50 eases）. Operation time, postoperative pain, hospital stay, number of incision, postoperative complications, recent recurrence rate （12 months） were compared with each other. Results Followed up for 12 months. The LVET combined with high ligation group in operative time, postoperative pain, hospital stay were no statistically significant difference compared with LVET group （P 〉 0.05）, patients in LVET combined with high ligation group was more number of incision, postoperative complications than other group （P 〈 0.05）. But the former is superior to the latter in terms of recurrence after surgery in the near future （P 〈 0.05）. Conclusion The LVET combined with high ligation is lower in Recent recurrence rate than pure laser. The LVET combined with high ligation is mote safety and effective. It is worthy to be popularized.