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目的探讨静脉腔内激光疗法治疗下肢静脉曲张的临床疗效。方法回顾分析2009年6月至2010年6月100例124条肢体大隐静脉曲张行腔内激光治疗疗效及预后。结果一次治愈率95.2%(118/124)。1例1条肢体于术后1个月复发。5例5条肢体术后仍有少量曲张静脉存在。18例大隐静脉主干烧灼处条索状硬结、疼痛;15例发生皮下片状淤血;12例出现局部皮肤麻木。术后平均住院时间3 d。95例随访2~14个月,失访5例。结论腔内激光疗法治疗大隐静脉曲张疗效确切,创伤小。
Objective To investigate the clinical efficacy of intravenous laser in the treatment of varicose veins of the lower extremities. Methods A retrospective analysis of 100 cases of 124 limbs with saphenous vein varicose veins undergoing endovascular laser treatment between June 2009 and June 2010 was performed. Results The first cure rate was 95.2% (118/124). One case of one limb relapsed one month after surgery. 5 cases of 5 limbs still a small amount of varicose veins exist. 18 cases of saphenous vein cauterization of the cord sclerosis, pain; 15 cases of subcutaneous patchy congestion; 12 cases of local skin numbness. The average postoperative hospital stay was 3 days. 95 cases were followed up for 2 to 14 months, lost to 5 cases. Conclusions Endovascular laser therapies for the treatment of great saphenous vein is effective and less traumatic.