摘要
目的探讨腔内激光闭合联合局部抽剥术治疗下肢静脉曲张近期效果。方法回顾性分析行腔内激光闭合联合局部抽剥术治疗大隐静脉曲张病人298例(439条肢体)的临床资料。结果所有病人术后效果均满意,静脉曲张消失,下肢行走后酸胀、乏力症状较前明显改善,切口均一期愈合,无切口感染发生,未出现下肢深静脉血栓形成及肺栓塞。术后有200例出现不同程度皮肤瘀斑,未特殊处理,术后1~2周均自行消退;小腿下段及足踝内侧皮肤出现麻木及感觉障碍33例,永久性损害3例;行走后仍有沉重、乏力感41例,配穿医用弹力袜后,症状大多缓解;小腿切口麻木7例;活动性溃疡5例,术后定期换药,1~3个月均完全愈合。术后随访1~42个月,总复发率为5.24%。随访过程中因患肺癌死亡1例。结论腔内激光闭合联合局部抽剥术治疗下肢静脉曲张微创、安全,近期效果良好。
Objective To investigate the short-term effect of endovenous laser therapy combined with local vein stripping surgery in the treatment of varicose veins of the lower limbs.Methods A retrospective analysis was performed for the clinical data of 298 patients（439 limbs）with great saphenous varicose veins who underwent endovenous laser therapy combined with local vein stripping surgery.Results All patients were satisfied with their outcome after surgery,with the disappearance of varices and significant improvement in swelling and weakness of the lower limbs after walk.All incisions achieved primary healing without infection,and no patient experienced deep venous thrombosis in the lower limbs or pulmonary embolism.Of all patients,200 experienced varying degrees of skin ecchymosis after surgery,no special treatment was given,and such symptom disappeared at 1-2 weeks after surgery;33 experienced numbness and sensory disturbance of the skin at the lower segment of the calf and the inner side of the ankle,and 3 experienced permanent damage;41 still had the sense of weakness after walk,which was alleviated with the help of medical compression stocking;7 had numbness of the incision at the calf;5 had active ulcer and were given dressing change regularly after surgery,and the symptom was cured after 1-3 months.The patients were followed up for 1-42 months after surgery,and the overall recurrence rate was 5.24%.One patient died of lung cancer during follow-up.Conclusion Endovenous laser therapy combined with local vein stripping surgery is a minimally invasive and safe treatment for varicose veins of the lower limbs and has a good short-term clinical effect.
作者
赵平
程勇
王豪夫
ZHAO Ping;CHENG Yong;WANG Haofu(Department of Vascular Surgery, Weifang Traditional Chinese Medicine Hospital, Weifang 261041, China)
出处
《青岛大学医学院学报》
CAS
2017年第5期534-536,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
血管成形术
激光
静脉曲张
手术后并发症
angioplasty, laser
varicose veins
postoperative complications
