摘要
目的:应用腔内激光(EVLT)联合点式潜行剥脱治疗下肢浅静脉曲张,通过5年随访评价其远期疗效。方法:收治下肢浅静脉曲张患者56例,共88条患肢。行常规EVLT,并同期利用腹腔镜手术分离钳进行点式潜行曲张静脉团剥脱。结果:手术时间平均45 min,失血平均70 mL。5年随访发现静脉曲张复发6例(10.7%),再次手术4例(7.1%),3例术后大隐静脉根部未完全闭塞,另3例为交通支原因复发。结论:ELVT联合点式潜行剥脱治疗下肢静脉曲张相对简单、微创效果好、远期疗效较好,复发率尚可接受。
Objective： Endovenous laser treatment combined with stab avulsion technique was used for the varicose veins of the saphenous vein.The clinical outcome and recurrence was assessed after 5 years.Methods： A total of 56 patients（88 legs）were treated with the procedure.In the procedure,the conventional EVLT was conducted first and followed by stab avulsions of varicose veins using a laparoscopic dissecting forceps.Results： The mean operating time was 45 min and the mean blood loss was 70 mL.After 5 years,a total of 6 patients（10.7%）developed recurrent varicose veins.Among them,4 patients accepted reoperation.The reasons of recurrence included： the root of the great saphenous vein was not completely occluded in 3 patients,and communicating branches opened in the other 3 patients.Conclusion： The technique is relatively simple with a perfect cosmetic result,better outcome,and acceptable long-term recurrence.Attention should be focused on reliable EVLT on the root level of the great saphenous vein,effective postoperative pressing measure of the limb and clearly elimination of the communicating branches.
出处
《中国现代普通外科进展》
CAS
2010年第6期455-457,共3页
Chinese Journal of Current Advances in General Surgery
关键词
大隐静脉
静脉曲张
激光疗法
点式剥脱
复发
Saphenous vein.Varicose veins.Laser therapy.Stab avulsion.Recurrence
