环激光联合硬化剂注射治疗下肢静脉功能不全的中短期疗效分析

发布时间：2018-10-12 21:51

【摘要】：目的·对比1 470 nm激光联合硬化剂注射门诊治疗下肢静脉功能不全与住院高位结扎联合腔内激光及硬化剂注射手术治疗下肢静脉功能不全的中短期疗效。方法·选取符合入组条件的77例住院手术患者(住院手术组,大隐静脉高位结扎+808 nm激光联合硬化剂注射治疗)和21例日间手术患者(门诊治疗组,1 470 nm激光联合硬化剂注射治疗),对其临床资料进行回顾性分析。结果·门诊治疗组与住院手术组中短期大隐静脉闭合效果无明显差异;门诊治疗组术后1~12个月并发症发生率和复发率并不高于手术组,但在围术期舒适度、经济花费、回归正常生活工作时间上均优于住院手术组。结论·1 470 nm激光联合硬化剂注射门诊治疗下肢静脉功能不全与住院高位结扎联合腔内激光及硬化剂注射手术治疗有相似的疗效,但安全性、舒适度高,创伤更小,并可简化住院程序,降低医疗成本,可作为一种新的选择方案提供给患者。
[Abstract]:Objective to compare the short and medium term effects of 1 470 nm laser combined with sclerosing agent injection in the treatment of lower extremity venous insufficiency with high ligation of lower extremity combined with intracavitary laser and sclerosing agent injection. Methods Seventy-seven inpatients who were admitted to the hospital were selected. High ligation of saphenous vein (808 nm laser combined with sclerosing agent injection) and 21 patients (outpatient treatment group, 1 470 nm laser combined sclerosing agent injection) were retrospectively analyzed. Results there was no significant difference between the outpatient treatment group and the inpatient operation group in closing the great saphenous vein, the incidence of complications and the recurrence rate in the outpatient treatment group were not higher than those in the operation group at 1 ~ 12 months after operation, but they were comfortable and economical in the perioperative period. The time of returning to normal life and working time was better than that of operation group. Conclusion 1 470 nm laser combined with sclerosing agent injection in outpatient treatment of lower extremity venous insufficiency is similar to that of high ligation in hospital combined with intracavitary laser and sclerosing agent injection surgery, but it is safe, comfortable and less traumatic. It can simplify the hospitalization procedure and reduce the medical cost. It can be used as a new option for patients.
【作者单位】：郑州大学第五附属医院血管外科;上海交通大学医学院附属第九人民医院血管外科;上海交通大学医学院附属第九人民医院激光美容科;
【分类号】：R543.6

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