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目的 评估静脉腔内激光消融联合点式剥脱术治疗下肢静脉曲张的临床疗效.方法 回顾性分析2014年8月-2015年12月采用静脉腔内激光消融联合点式剥脱术治疗168例下肢静脉曲张患者的临床资料,其中男88例,女80例,共236条肢体;平均年龄59.61岁.结果 所有患者均成功耐受静脉腔内激光消融联合点式剥脱术治疗,单肢手术时间(40.0±12.4)min,住院时间(5.97±0.82)d.本组所有病例术后均恢复良好.共随访患者159例,9例失访,随访率94.6％,随访时间为6 ～ 23个月,无静脉曲张及溃疡复发,无深静脉血栓形成.结论 静脉腔内激光消融联合点式剥脱术治疗下肢静脉曲张具有微创、安全有效、复发率低以及恢复快等优点.“,”Objective To evaluate the clinical efficacy of varicose vein in lower extremity treated by endovenous laser treatment combined with phlebectomy.Methods 168 patients with varicose vein in lower extremity treated in our hospital from August 2014 to December 2015 were collected.There were 88 males and 80 females,with a total of 236 limbs.The average age was 59.61 years.Results Endovenous laser treatment combined with phlebectomy were performed successfully in all patients.The procedure time for a single limb was (40.0 ± 12.4) minutes.The hospitalization day of the patient after procedure was (5.97 ± 0.82) days.All patients recovered well after procedure in this group.A total of 159 patients were followed up,9 patients were lost to follow-up,the follow-up rate was 94.6％,the follow-up time was 6 ～ 23 months.Neither recurrent varicose vein and ulcer nor deep vein thrombosis was seen.Conclusion Endovenous laser treatment combined with phlebectomy for the treatment of varicose veins of the lower extremities is minimally-invasive,safe,effective,low recurrence rate and fast recovery.