CAJ | 학술논문

目的探讨高位结扎加激光腔内治疗大隐静脉曲张手术操作，提高激光腔内手术成功率、缩短手术时间。方法2012年4月我们总结多用途导管、超滑导丝、光纤、标记线、器械准备及配合等方面操作经验，用于符合激光腔内治疗适应证的57个肢体病例；同时回顾以往64个肢体采用相同适应证的病例。对比分析中转剥脱术例数、腔内治疗置管次数和手术时间。结果中转剥脱术例数减少、单次置管成功次数增加，手术时间缩短。结论应用总结的手术操作经验可降低血管痉挛、凝血及光纤位置确认困难对大隐静脉曲张激光腔内治疗负影响，缩短手术时间。
목적탐토고위결찰가격광강내치료대은정맥곡장수술조작，제고격광강내수술성공솔、축단수술시간。방법2012년4월아문총결다용도도관、초활도사、광섬、표기선、기계준비급배합등방면조작경험，용우부합격광강내치료괄응증적57개지체병례；동시회고이왕64개지체채용상동괄응증적병례。대비분석중전박탈술례수、강내치료치관차수화수술시간。결과중전박탈술례수감소、단차치관성공차수증가，수술시간축단。결론응용총결적수술조작경험가강저혈관경련、응혈급광섬위치학인곤난대대은정맥곡장격광강내치료부영향，축단수술시간。
Objective To explore operative procedure of high ligation endovenous laser treatment in Great Saphenous Varicose Veins for improving operative achievement ratio and shortening operative time .Methods the operative procedure (multipurpose catheter ,super slippery guide wire ,optical fiber ,marked line ,instrument preparation and mutual cooperation)of high ligation endovenous laser treatment in 57 lower extremities that fit the indication was summarized .Simultaneously ,64 lower extremi-ties that fit the same indication were retrospectively reviewed .The number of cases that was changed to traditional stripping treatment ,the number of placing the catheter times ,and the operation time was compared .Results The number of cases that was changed to traditional stripping treatment was decreased .The achievement ratio of placing the catheter once was increased . the operation time was shortened .Conclusions The experience of our operative procedure could decrease the frequency of an-giospasm and blood clotting ,as well as shorten the operation time .In addition ,the high ligation endovenous laser treatment is influenced negatively if the location of the optical fiber can not be found accurately .