Clinical Research on Intracavity Laser Combining with Poly Cinnamyl Alcohol Foam Hardener in Treatment of Lower Extremity Varicose Veins_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 李文仿 , 周科 , 周坤 ,  赵宗彬

湖北医药学院附属太和医院普三科（湖北十堰 442000）;

Corresponding author：

赵宗彬, Email: zzb54@sina.com

Keywords：

腔内激光; 泡沫硬化疗法; 静脉曲张; 疗效

DOI：

10.7507/1007-9424.20140370

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的观察腔内激光联合聚桂醇泡沫硬化剂治疗下肢静脉曲张的临床效果。方法回顾性分析2009年2月至2013年7月期间接受腔内激光联合聚桂醇泡沫硬化剂治疗的40例下肢静脉曲张患者（联合组）和单纯接受腔内激光治疗的40例下肢静脉曲张患者（对照组）的临床资料，比较2种治疗方法的效果。结果联合组和对照组患者的手术时间〔（43.95±6.77）min比（45.20±6.77）min〕和术中出血量〔（16.07±4.30）mL比（16.65±4.50）mL〕比较差异均无统计学意义（P＞0.05），但联合组的手术费用低于对照组〔（7 056.83±940.45）元比（7 473.81±1 476.09）元〕，P=0.044。术后对照组的并发症发生率为20.0%（8/40），高于联合组的5.0%（1/40），差异有统计学意义（P=0.029）。术后所有患者获访4～24个月、（15.5±6.7）个月。随访期间，80例患者的下肢曲张畸形静脉均消失，对照组小范围复发3例（7.5%），联合组小范围复发2例（5.0%），2组复发率的差异无统计学意义（P=1.000）。结论对下肢静脉曲张，腔内激光联合泡沫硬化剂治疗是一种安全和有效的新微创手术方法，具有并发症发生率低的优点，值得临床推广。

Citation： 李文仿, 周科, 周坤, 赵宗彬. Clinical Research on Intracavity Laser Combining with Poly Cinnamyl Alcohol Foam Hardener in Treatment of Lower Extremity Varicose Veins. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(12): 1564-1566. doi: 10.7507/1007-9424.20140370 Copy

1.	Moul DK, Housman L, Romine S, et al.Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser:retrospective case series of 1171 procedures[J].J Am Acad Dermatol, 2014, 70(2):326-331.
2.	袁链, 尹立伟, 张小明.早期小切口大隐静脉高位结扎剥脱术治疗伴急性血栓性浅静脉炎的大隐静脉曲张[J].中国微创外科杂志, 2013, 13(3):246-248.
3.	史建中.大隐静脉高位结扎联合腔内激光闭合术治疗下肢静脉曲张319例临床分析[J].中国现代普通外科进展, 2011, 14(10):828-829.
4.	Shadid NH, van der Velden SK, van Oerle R, et al.In vivo effects of foam sclerotherapy on coagulation[J].Phlebology, 2013, 29(5):287-292.
5.	陈建华, 杨伟刚, 季晓亮, 等.腔内激光治疗下肢静脉曲张56例[J].中国中西医结合外科杂志, 2013, 19(2):205-206.
6.	Samuel N, Wallace T, Carradice D, et al.Comparison of 12-w versus 14-w endovenous laser ablation in the treatment of great saphenous varicose veins:5-year outcomes from a randomized controlled trial[J].Vasc Endovascular Surg, 2013, 47(5):346-352.
7.	Chen JQ, Xie H, Deng HY, et al.Endovenous laser ablation of great saphenous vein with ultrasound-guided perivenous tumescence:early and midterm results[J].Chin Med J (Engl), 2013, 126(3):421-425.
8.	Biemans AA, Kockaert M, Akkersdijk GP, et al.Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for greatsaphenous varicose veins[J].J Vasc Surg, 2013, 58(3):727-734.
9.	Bozoglan O, Mese B, Inci MF, et al.A rare complication of endovenous laser ablation:intravascular laser catheter breakage[J].BMJ Case Rep, 2013.
10.	Duman E, Yildirim E, Saba T, et al.The effect of laser wavelength on postoperative pain score in the endovenous ablation of saphenous vein insufficiency[J].Diagn Interv Radiol, 2013, 19(4):326-329.
11.	龚凯, 黄道景, 张亚明, 等.腔内激光与腔内激光联合泡沫硬化剂治疗下肢静脉曲张的比较研究[J].中国微创外科杂志, 2012, 12(7):601-603.
12.	冯苏, 田志龙, 贾高磊, 等.限制性内翻剥脱联合TriVex旋切及泡沫硬化剂治疗下肢静脉曲张(附132例报告)[J].中国微创外科杂志, 2014, 14(2):151-154.
13.	Burihan MC.Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices[J].Sao Paulo Med J, 2014, 132(1):69.
14.	Badri H, Bhattacharya V.A review of current treatment strategies for varicose veins[J].Recent Pat Cardiovasc Drug Discov, 2008, 3(2):126-136.
15.	Coleridge Smith P.Sclerotherapy and foam sclerotherapy for varicose veins[J].Phlebology, 2009, 24(6):260-269.

1. Moul DK, Housman L, Romine S, et al.Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser:retrospective case series of 1171 procedures[J].J Am Acad Dermatol, 2014, 70(2):326-331.
2. 袁链, 尹立伟, 张小明.早期小切口大隐静脉高位结扎剥脱术治疗伴急性血栓性浅静脉炎的大隐静脉曲张[J].中国微创外科杂志, 2013, 13(3):246-248.
3. 史建中.大隐静脉高位结扎联合腔内激光闭合术治疗下肢静脉曲张319例临床分析[J].中国现代普通外科进展, 2011, 14(10):828-829.
4. Shadid NH, van der Velden SK, van Oerle R, et al.In vivo effects of foam sclerotherapy on coagulation[J].Phlebology, 2013, 29(5):287-292.
5. 陈建华, 杨伟刚, 季晓亮, 等.腔内激光治疗下肢静脉曲张56例[J].中国中西医结合外科杂志, 2013, 19(2):205-206.
6. Samuel N, Wallace T, Carradice D, et al.Comparison of 12-w versus 14-w endovenous laser ablation in the treatment of great saphenous varicose veins:5-year outcomes from a randomized controlled trial[J].Vasc Endovascular Surg, 2013, 47(5):346-352.
7. Chen JQ, Xie H, Deng HY, et al.Endovenous laser ablation of great saphenous vein with ultrasound-guided perivenous tumescence:early and midterm results[J].Chin Med J (Engl), 2013, 126(3):421-425.
8. Biemans AA, Kockaert M, Akkersdijk GP, et al.Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for greatsaphenous varicose veins[J].J Vasc Surg, 2013, 58(3):727-734.
9. Bozoglan O, Mese B, Inci MF, et al.A rare complication of endovenous laser ablation:intravascular laser catheter breakage[J].BMJ Case Rep, 2013.
10. Duman E, Yildirim E, Saba T, et al.The effect of laser wavelength on postoperative pain score in the endovenous ablation of saphenous vein insufficiency[J].Diagn Interv Radiol, 2013, 19(4):326-329.
11. 龚凯, 黄道景, 张亚明, 等.腔内激光与腔内激光联合泡沫硬化剂治疗下肢静脉曲张的比较研究[J].中国微创外科杂志, 2012, 12(7):601-603.
12. 冯苏, 田志龙, 贾高磊, 等.限制性内翻剥脱联合TriVex旋切及泡沫硬化剂治疗下肢静脉曲张(附132例报告)[J].中国微创外科杂志, 2014, 14(2):151-154.
13. Burihan MC.Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices[J].Sao Paulo Med J, 2014, 132(1):69.
14. Badri H, Bhattacharya V.A review of current treatment strategies for varicose veins[J].Recent Pat Cardiovasc Drug Discov, 2008, 3(2):126-136.
15. Coleridge Smith P.Sclerotherapy and foam sclerotherapy for varicose veins[J].Phlebology, 2009, 24(6):260-269.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Research on Intracavity Laser Combining with Poly Cinnamyl Alcohol Foam Hardener in Treatment of Lower Extremity Varicose Veins

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content