CAJ | 학술논문

目的;腔内激光是目前最新的治疗静脉曲张的微创技术,大隐静脉曲张的腔内激光治疗已在临床得到认同并广泛应用,但腔内激光治疗小隐静脉曲张尚缺乏相关的临床研究,本研究将探讨腔内激光治疗小隐静脉曲张的临床疗效,并评价其安全性及有效性。方法：2007年2月至2011年2月78例小隐静脉曲张患者93条患肢,按照国际静脉联盟CEAP分级,采用彩超定位下连续性静脉腔内激光闭塞治疗,部分患者同时需手术结扎大隐静脉或剥脱散在静脉属支。术后随访血管彩超和临床CEAP分级,分析临床效果及并发症。结果：治疗均获成功,彩超提示静脉立即闭塞,近端无血栓形成。平均手术时间29min,术中无并发症发生。术后早期并发症包括：疼痛、淤血、皮肤感觉异常、血栓性浅静脉炎等,但程度较轻微。术后3天至7天出院,平均随访时间16±9月（1月至43月）。所有病例术后症状明显缓解,无深静脉血栓形成及肺栓塞发生。结论：腔内激光治疗小隐静脉曲张短期和中期临床效果满意,并发症发生率低且轻微,症状缓解显著但临床操作中应进一步规范标准化流程。
목적;강내격광시목전최신적치료정맥곡장적미창기술,대은정맥곡장적강내격광치료이재림상득도인동병엄범응용,단강내격광치료소은정맥곡장상결핍상관적림상연구,본연구장탐토강내격광치료소은정맥곡장적림상료효,병평개기안전성급유효성。방법：2007년2월지2011년2월78례소은정맥곡장환자93조환지,안조국제정맥련맹CEAP분급,채용채초정위하련속성정맥강내격광폐새치료,부분환자동시수수술결찰대은정맥혹박탈산재정맥속지。술후수방혈관채초화림상CEAP분급,분석림상효과급병발증。결과：치료균획성공,채초제시정맥립즉폐새,근단무혈전형성。평균수술시간29min,술중무병발증발생。술후조기병발증포괄：동통、어혈、피부감각이상、혈전성천정맥염등,단정도교경미。술후3천지7천출원,평균수방시간16±9월（1월지43월）。소유병례술후증상명현완해,무심정맥혈전형성급폐전새발생。결론：강내격광치료소은정맥곡장단기화중기림상효과만의,병발증발생솔저차경미,증상완해현저단림상조작중응진일보규범표준화류정。
Objective： Endovenous laser treatment is a new minimally invasive technique for ablation of the incompetent saphenous vein.Compared with the GSV,fewer data are available on small saphenous vein（SSV） laser ablation.This study evaluated the feasibility,safety,and efficacy of endovenous laser ablation to treat SSVs.Methods：Between February 2007 and February 2011,78 patients（93 limbs） with incompetent SSVs（evaluated by the CEAP classification） who were eligible for surgery underwent consecutive laser ablation procedures.Many required additional treatment for varicose tributaries.Ablations were performed with duplex ultrasound（DU） guidance.Follow-up was with clinical examination and DU imaging.Results：DU imaging showed immediate occlusion of the SSV with no thrombosis in the proximal veins.No complications occurred intraoperatively.Some patients had postoperative pain,sugillation,paresthesia and superficial thrombophlebitis,but it was minimal.Patients could discharge 3 to 7 days later.All cases were followed up for 1-43 months.The mean follow-up was 16±9 months.Symptoms resolved in most patients soon after the operation.Conclusion：Endovenous laser ablation of the SSV has excellent early and midterm results.The prevalence of complications is very low and light.Symptom relief is very good,but regular procedures are necessary in practical operation.