| 高胜国,梁勇,周瑞,等.改良激光静脉腔内闭合术治疗大隐静脉曲张 257例疗效分析[J].安徽医药,2019,23(12):2476-2479. |
| 改良激光静脉腔内闭合术治疗大隐静脉曲张 257例疗效分析 |
| Modified endovenous laser treatment for the great saphenous varicose veins:a retrospective analysis of 257 cases |
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| DOI：10.3969/j.issn.1009?6469.2019.12.036 |
| 中文关键词: 静脉曲张 隐静脉 激光疗法 结扎术 腔内激光闭合术 |
| 英文关键词: Varicose veins Saphenous vein Laser therapy Ligation Endovenous laser treatment |
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| 中文摘要: |
| 目的探讨改良激光静脉腔内闭合术治疗大隐静脉曲张的短期疗效。方法回顾性分析 2017年 5月至 2018年 2月徐州医科大学附属医院收治的 257例(312条病肢)采用 1 470 nm环激光改良静脉腔内闭合术治疗大隐静脉曲张病人的临床资料，并进一步评价手术的短期疗效。结果 257例 312条病肢手术顺利，手术时间(71.26±23.82)min，范围为 60~210 min。术后有 86条病肢出现并发症，且部分病肢出现 2种及以上的并发症，术后区域性皮下淤血、淤斑 18例 24条(7.7%，24/312)皮下条索状硬结伴疼痛 50例 56条(17.9%，56/312)下肢感觉异常 22例 24条(7.7%，24/312)血栓性浅静脉炎 12例 12条(3，.8%，12/ 312)切口感染 5例8条(2.6%，8/312)术后出现，皮肤灼伤 Ⅰ°5例5条(1.6%，5/312)；术后3，d出现下肢肌间静脉血栓 2例(0.8%，2/ 257)。以，上病人经积极治疗后均明显好，转，所有病人均未发生下肢深静脉血栓及肺栓塞。 257例 312条病肢术后疗效满意，曲张静脉消失，下肢酸胀沉重感明显改善。术后随访 3～12个月，未见复发。结论改良激光静脉腔内闭合术治疗大隐静脉曲张具有安全有效、创伤小、恢复快及并发症少等优势，值得临床推广运用。 |
| 英文摘要: |
| Objective To explore the short?term effect of modified laser venous closure for the treatment of great saphenous vein. Methods The clinical data of 257 patients(312 limbs)who underwent the 1 470 nm ring laser modified venous closure for thetreatment of great saphenous veins from May 2017 to February 2018 were retrospectively analyzed，so we can use the clinical data to evaluate the short?term efficacy of this surgical approach.Results The number of 312 affected limbs were operated smoothly， and the operation time was 60 min to 210 min，with an average of 71.26±23.82min.Postoperative complications occured in 86 af? fected limbs，and 2 or more complications occurred in some affected limbs.Regional subcutaneous congestion and ecchymosis |
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