激光闭合在小腿交通支静脉功能不全治疗中的临床应用

目的评价经皮穿刺激光腔内闭合小腿交通支静脉治疗下肢大隐静脉曲张合并交通支静脉功能不全的临床疗效。方法全组36例(42条肢体)下肢大隐静脉曲张伴交通支静脉功能不全患者均行大隐静脉全程加下肢浅表曲张静脉穿刺激光烧灼闭合,同时在超声引导下经皮穿刺激光腔内闭合有病变交通支静脉。结果全组42条肢体术前检查有82支病变交通支静脉,术后随访1～18个月内彩超检查证实82支交通支静脉闭合。C6级的10条小腿溃疡肢体,于术后2～8周全部愈合。结论经皮穿刺激光腔内闭合小腿交通支静脉,是治疗下肢大隐静脉曲张合并交通支静脉病变可行的微创治疗方法,安全、有效、创伤小,对于合并有小腿溃疡的患者尤为适宜。

Endovenous laser closure in the treatment of perforating veins insufficiency

Objective To evaluate the clinical effects of endovenous laser closure of perforating veins by percutaneous puncture in the treatment of chronic venous insufficiency complicated with incompetence of the calf perforating veins of the lower extremities. Methods Thirty-six patients (42 limbs) with great saphenous varicose veins and perforating veins insufficiency underwent laser closure of the whole great saphenous veins and superficial varicose veins, at the same time, perforating varicose veins were closed by ultrasound-guided endovenous laser. Results During the follow-up time with 1～18 months, a total of 82 insufficient perforating veins in 42 limbs were confirmed to be closed by ultrasound examination. Ten limbs with ulcers of C6 level healed in 2～8 weeks after the surgery. Conclusion Endovenous laser closure in treatment of perforating veins by percutaneous puncture is a kind of safe, effective, minimal-invasive for curing great saphenous varicose vein of lower extremity combined with insufficiency of perforating veins and is particularly appropriate for the patients who suffered from leg ulcers.