医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
31期
73-73
,共1页
大隐静脉曲张%激光治疗%围手术期%并发症
大隱靜脈麯張%激光治療%圍手術期%併髮癥
대은정맥곡장%격광치료%위수술기%병발증
Varicose vein%VELT%Perioperative period%Complication
目的探讨应用大隐静脉高位结扎联合腔内激光治疗大隐静脉曲张，围手术期常见并发症及其处理。方法自2012年1月~2013年1月，68例患者的97条大隐静脉病变血管，应用大隐静脉高位结扎联合腔内激光治疗。结果本组68例行大隐静脉高位结扎联合腔内激光治疗手术，均治愈出院，无1例死亡或有严重并发症，住院时间3~15d，平均(5.5±2.6)d，无伤口感染，术后57条患肢(58.76%)存在不同程度的下肢肿胀，2~4d后消失。78条患肢(80.41%)有局部感觉异常，82条患肢(84.53%)沿大隐静脉或分支走向可触及硬结感，经随诊复查，2~8w症状逐渐消退。1条患肢(1.03%)出现皮肤损伤。结论大隐静脉高位结扎联合腔内激光治疗手术是一种安全有效的方法，操作成功率和近中期效果确切，可作为大隐静脉曲张的首选治疗方法，治疗同时注意预防局部并发症。
目的探討應用大隱靜脈高位結扎聯閤腔內激光治療大隱靜脈麯張，圍手術期常見併髮癥及其處理。方法自2012年1月~2013年1月，68例患者的97條大隱靜脈病變血管，應用大隱靜脈高位結扎聯閤腔內激光治療。結果本組68例行大隱靜脈高位結扎聯閤腔內激光治療手術，均治愈齣院，無1例死亡或有嚴重併髮癥，住院時間3~15d，平均(5.5±2.6)d，無傷口感染，術後57條患肢(58.76%)存在不同程度的下肢腫脹，2~4d後消失。78條患肢(80.41%)有跼部感覺異常，82條患肢(84.53%)沿大隱靜脈或分支走嚮可觸及硬結感，經隨診複查，2~8w癥狀逐漸消退。1條患肢(1.03%)齣現皮膚損傷。結論大隱靜脈高位結扎聯閤腔內激光治療手術是一種安全有效的方法，操作成功率和近中期效果確切，可作為大隱靜脈麯張的首選治療方法，治療同時註意預防跼部併髮癥。
목적탐토응용대은정맥고위결찰연합강내격광치료대은정맥곡장，위수술기상견병발증급기처리。방법자2012년1월~2013년1월，68례환자적97조대은정맥병변혈관，응용대은정맥고위결찰연합강내격광치료。결과본조68례행대은정맥고위결찰연합강내격광치료수술，균치유출원，무1례사망혹유엄중병발증，주원시간3~15d，평균(5.5±2.6)d，무상구감염，술후57조환지(58.76%)존재불동정도적하지종창，2~4d후소실。78조환지(80.41%)유국부감각이상，82조환지(84.53%)연대은정맥혹분지주향가촉급경결감，경수진복사，2~8w증상축점소퇴。1조환지(1.03%)출현피부손상。결론대은정맥고위결찰연합강내격광치료수술시일충안전유효적방법，조작성공솔화근중기효과학절，가작위대은정맥곡장적수선치료방법，치료동시주의예방국부병발증。
Objective Discussion on the application of great saphenous vein high ligation combined endovenous lasertreatment of varicose great saphenous vein during operation, complication and treatment period. Methods From 2012 01 to 2013 01 months, 68 patients with 97 lesions of great saphenous vein, saphenous vein high ligation combined endovenous laser treatment. Results This group of 68 cases of great saphenous vein high ligation combined endovenous laser treatment,operation, were cured and discharged, no deaths or serious complications, hospitalization for 3 to 15 days, the average (5.5±2.6) days, no wound infection after operation, 57 limbs (58.76%) there are dif erent degrees of lower limb swel ing, 2 days to 4 days. 78 limbs (80.41%) with local abnormal sensation. 82 limbs (84.53%) along the great saphenous vein or branch to palpable induration, thefol ow-up review, 2~8 weeks of symptoms gradual y subsided. 1 limbs (1.03%) skin injury. Conclusion Great saphenous vein high ligation combined endovenous laser treatment operation is a safe and ef ective method, the success rate of operation and near the middle of the exact ef ect, can be used as the prefer ed method of treatment of varicose veins, treatment at the same time pay at ention to the prevention of complications.
