CAJ | 학술논문

目的：比较静脉腔内激光治疗（EVLT）和传统剥脱手术治疗下肢静脉曲张（VVLE）的远期疗效。方法选取VVLE患者120例，随机分为EVLT组与对照组，每组各60例。EVLT组采用EVLT治疗，对照组采用传统剥脱手术治疗。分别对两组患者手术并发症、术后1、2、3年复发率以及术后生活质量进行对比评价。结果术后3个月EVLT组患者生活质量调查表（CIVIQ）评分显著高于对照组（P＜0.05），术后6个月两组患者CIVIQ评分比较则无统计学差异（P＞0.05）。EVLT组患者术后皮下瘀血、感觉麻木、硬结、皮下脂肪液化感染的发生率均显著低于对照组（均P＜0.01），皮肤灼伤的发生率则高于对照组（P＜0.05），两组患者静脉炎的发生率无统计学差异（P＞0.05）；两组患者术后1、2、3年复发率比较均无统计学差异（均P＞0.05）。结论应用EVLT治疗VVLE手术并发症少，患者术后恢复较快，远期疗效理想，值得临床推广应用。
목적：비교정맥강내격광치료（EVLT）화전통박탈수술치료하지정맥곡장（VVLE）적원기료효。방법선취VVLE환자120례，수궤분위EVLT조여대조조，매조각60례。EVLT조채용EVLT치료，대조조채용전통박탈수술치료。분별대량조환자수술병발증、술후1、2、3년복발솔이급술후생활질량진행대비평개。결과술후3개월EVLT조환자생활질량조사표（CIVIQ）평분현저고우대조조（P＜0.05），술후6개월량조환자CIVIQ평분비교칙무통계학차이（P＞0.05）。EVLT조환자술후피하어혈、감각마목、경결、피하지방액화감염적발생솔균현저저우대조조（균P＜0.01），피부작상적발생솔칙고우대조조（P＜0.05），량조환자정맥염적발생솔무통계학차이（P＞0.05）；량조환자술후1、2、3년복발솔비교균무통계학차이（균P＞0.05）。결론응용EVLT치료VVLE수술병발증소，환자술후회복교쾌，원기료효이상，치득림상추엄응용。
Objective To compare the long- term efficacy between endovenous laser therapy (EVLT) and conventional stripping surgery for varicose vein of lower extremity(VVLE). Methods One hundred and twenty patients with VVLE admitted in our hospital from January 2010 to October 2011 were randomly divided into two groups (n=60 in each group). Patients in EVLT group were treated with EVLT, while those in control group were treated with conventional stripping operation. The complications, 1- , 2- and 3- y recurrence rate and CIVIQ scores were compared between two groups. Results The occurrence rates of ec-chymoma, stolidity, subcutaneous infection in EVLT group were significantly reduced compared to control group (P<0.01), while the occurrence rate of skin burns was higher than that in control group (P<0.05). There were no significant differences in occur-rence rate of phlebitis and1- , 2 and 3- y recurrence rates between two groups (P>0.05). The CIVIQ scores of EVLT group were significantly higher than those of control group 3 months after operation (P<0.05);however, there was no significant difference after 6 months (P>0.05). Conclusion EVLT has the advantage of less complication, fast recovery and significant long- term effi-cacy in treatment of VVLE compared to conventional stripping surgery.