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目的探讨静脉腔内激光治疗(EVLT)下肢静脉曲张的临床疗效。方法通过回顾性分析下肢静脉曲张106例患者167条患肢经EVLT术治疗的术后切口愈合、并发症发生、大隐静脉主干闭合、静脉曲张复发、溃疡愈合、色素沉着减退等情况,评价治疗效果。结果所有患肢术后切口Ⅰ期愈合率达100%;患肢溃疡、色素沉着等症状好转率为99.40%;与手术有关的并发症发生率为14.97%,且无深静脉血栓形成;大隐静脉根部闭合率为98.80%;复发率为2.40%,且重度股静脉瓣膜功能不全患者与其余患者的术后复发率之间差异无统计学意义(P>0.05)。结论 EVLT术具有安全、有效、术后瘢痕少、感染几率小、并发症发生率低及恢复迅速等优点。
Objective To investigate the clinical efficacy of intravenous laser treatment (EVLT) varicose veins. Methods Retrospective analysis of 167 limbs in 106 cases of lower extremity varicose veins treated by EVLT surgery after incision healing, complications, the main saphenous vein closure, varicose veins recurrence, ulcer healing, hypopigmentation and so on, evaluate the treatment effect. Results The rate of primary incision wound healing was 100%. The improvement rate of ulcer, pigmentation and other symptoms was 99.40%. The incidence of complications related to surgery was 14.97% and there was no deep venous thrombosis. The root closure rate was 98.80%. The recurrence rate was 2.40%. There was no significant difference in the recurrence rate between the patients with severe femoral venous insufficiency and other patients (P> 0.05). Conclusion EVLT is safe, effective, less scarring, less infection, low complication rate and rapid recovery.