CAJ | 학술논문

目的：比较1470nm（输出功率6W）及810nm（输出功率8W）半导体激光腔内治疗下肢静脉曲张的近期疗效。方法对30例行1470nm激光静脉腔内激光治疗(研究组)和29例行810nm激光静脉腔内激光治疗（对照组）的下肢静脉曲张患者的临床资料进行分析，比较二组的手术成功率、手术时间、术后疼痛、术后住院时间及手术并发症的情况。结果术后3天、3个月，研究组和对照组手术前后静脉临床严重程度评分（VCSS）比较，差异均有统计学意义（P<0.01）；二组在手术成功率、手术时间、术后疼痛、术后住院时间及手术并发症方面比较，差异均无统计学意义（P>0.05）。结论采用1470nm波长，输出功率6W的半导体激光腔内治疗下肢静脉曲张是一种安全、有效、节能的微创治疗方法。
목적：비교1470nm（수출공솔6W）급810nm（수출공솔8W）반도체격광강내치료하지정맥곡장적근기료효。방법대30례행1470nm격광정맥강내격광치료(연구조)화29례행810nm격광정맥강내격광치료（대조조）적하지정맥곡장환자적림상자료진행분석，비교이조적수술성공솔、수술시간、술후동통、술후주원시간급수술병발증적정황。결과술후3천、3개월，연구조화대조조수술전후정맥림상엄중정도평분（VCSS）비교，차이균유통계학의의（P<0.01）；이조재수술성공솔、수술시간、술후동통、술후주원시간급수술병발증방면비교，차이균무통계학의의（P>0.05）。결론채용1470nm파장，수출공솔6W적반도체격광강내치료하지정맥곡장시일충안전、유효、절능적미창치료방법。
Objective To compare the short-term efficacy of endovenous laser treatment (EVLT) between using 1470nm(Output power 6W)and 810nm(Output power 8W)diode laser for lower extremity varicosity.Methods The data of 30 patients with varicose veins treated by EVLT with the 1470nm diode laser (research group)and 29 patients with varicose veins by EVLT with the 810nm diode laser(control group)were reviewed and compared in terms of operation success rate,operation time, postoperative pain, postoperative hospitalized duration and operative complications.Results The differences between preoperative and postoperative(3-day and 3-month after operation) venous clinical severity score(VCSS)were statistically significant in both groups(P<0.01). The operation success rate ,operation time, postoperative pain, postoperative hospitalized duration, operative complications had no statistical differences between the two groups(P>0.05).Conclusion The 1470nm wavelength and output power 6W EVLT is a treatment for lower extremity varicosity with advantages of safety,effectiveness, energy saving and minimal invasion.