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腔内激光联合手术治疗下肢静脉曲张的评价
引用本文:刘咸罗,柳小刚,汤永胜,陈克辉,周高潮,朱晴. 腔内激光联合手术治疗下肢静脉曲张的评价[J]. 临床外科杂志, 2008, 16(2): 117-119
作者姓名:刘咸罗  柳小刚  汤永胜  陈克辉  周高潮  朱晴
作者单位:安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011;安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011;安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011;安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011;安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011;安徽医科大学第四临床学院血管外科,合肥市第二人民医院,230011
摘    要:目的 评价腔内激光(EVLT)联合手术治疗下肢静脉曲张的疗效.方法 下肢静脉曲张172例,198条下肢.按不同病因分为3组,采用EVLT 相应手术方法治疗:①A组:原发性下肢深静脉瓣膜功能不全45条患肢,行股浅静脉瓣膜包窄 EVLT 内镜下小腿内侧功能不全交通静脉离断术(SEPS);②B组:轻度原发性深静脉瓣膜功能不全55条下肢,行EVLT SEPS;③C组:单纯性大隐静脉曲张,98条下肢,行EVLT.结果 随访2~44个月,平均32个月,5例有曲张静脉复发,再次行EVLT后未再复发;其余167例症状消退或明显好转,溃疡均愈合,彩超示大隐静脉全程闭合,深静脉通畅.结论 EVLT具有微创、安全、易于操作的特点,联合手术治疗下肢静脉曲张的效果满意.

关 键 词:激光手术  静脉曲张  下肢
文章编号:1005-6483(2008)02-0117-03
收稿时间:2007-11-26
修稿时间:2007-11-26

Evaluation of EVLT combined with operation for varicose vein of lower limbs
LIU Xian-luo ,LIU Xiao-gang, TANG Yong-sheng,et al.. Evaluation of EVLT combined with operation for varicose vein of lower limbs[J]. Journal of Clinical Surgery, 2008, 16(2): 117-119
Authors:LIU Xian-luo   LIU Xiao-gang   TANG Yong-sheng  et al.
Affiliation:LIU Xian-luo ,LIU Xiao-gang, TANG Yong-sheng, et al.
Abstract:Objective To evaluate the curative effects of EVLT combined with surgery in treating varicose veins of lower limbs.Methods 172 patients with varicose vein of lower limbs with a totel of 198 lower limbs underwent EVLT with concomitant surgery.Three therapeutic entities were included:(1)severe primary valvular incompetence(45 limbs):EVLT external banding valvuloplasty of superficial femoral vein SEPS;(2)mild primary ralvular incompetence(55 limbs):EVLT SEPS;(3)simple saphenous varicosity(98 limbs):EVLT.Results All patients were followed up for 2-44 months(mean 32 months)with satisfactory outcomes,except 5 patients who had recurred varicose veins.And they were successfully treated with EVLT for the second time.Conclusion EVLT in combination with surgery is a new therapeutic entity possessing advantages of minimal invasiveness,safety,easy-manipulation and satisfactory results.
Keywords:laser surgery  varicose veins  lower limb
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