腔内激光治疗下肢静脉曲张60例临床分析

目的：探讨腔内激光治疗下肢静脉曲张的临床效果。方法：选取下肢静脉曲张患者120例，随机分为两组各60例，使其有可比性。对照组患者给予大隐高位结扎联合分段抽剥术进行治疗；观察组患者给予静脉腔内激光联合大隐静脉高位结扎术进行治疗。对两组患者术中出血量、手术时间、切口数量、术后疼痛情况、开始下床活动时间、住院时间以及并发症情况进行统计和比较。结果：观察组患者术中出血量、手术时间、切口数量均明显少于对照组；观察组患者术后疼痛程度明显轻于对照组；下床活动时间以及住院时间均明显短于对照组，上述比较两组差异明显，有统计学意义（P〈0．05）。两组患者术后并发症发生情况差异不大，无统计学意义（P〉0．05）。结论：腔内激光治疗下肢静脉曲张是一种损伤小、恢复快且安全的治疗手段，在临床应用时应严格掌握适应症，谨慎操作，将其优势充分发挥。

Clinical Analysis on 60 Patients with Varicose Vein of Lower Limb by the Treatment of Cavity Laser

Objective： To observe the clinical effects of cavity laser to treat varicose vein of lower limb. Method： 120 patients with varicose vein of lower limb were selected and divided into 2 comparable groups randomly, each group with 60 cases. The patients in the control group were treated with saphenous ligation combined with segmental stripping operation. The patients in the observation group were treated with en- dovenous laser combined with great saphenous vein high ligation. Censusing and comparing the amount of bleeding in operation, operation time, incision number, postoperative pain, hospitalization time and compli- cations. Result： As for the observation group, the amount of bleeding in operation, operation time and inci- sion number were less evidently than that of the control group, the postoperative pain degree was slightly sig- nificantly than that of the control group, and bed activity time and hospitalization time were shorter evidently than that of the control group. The difference above between 2 groups was evident and had statistical signifi- cance （ P〈0.05 ）. The difference of postoperative complications between 2 groups was not evident, which had no statistical significance （P〉0.05 }. Conclusion： Cavity laser to treat varicose vein of lower limb is a safe treatment method which has less damage and faster recovery. In the clinical application, indications should be mastered strictly, operating prudently and making full use of the advantage.