上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (8): 1138-.doi: 10.3969/j.issn.1674-8115.2017.08.017

• 论著（临床研究） • 上一篇    下一篇

环激光联合硬化剂注射治疗下肢静脉功能不全的中短期疗效分析#br#

丁语 1，王新 2，王兵 1，赵海光 2, 3   

  1. 1. 郑州大学第五附属医院血管外科，郑州 450000；2. 上海交通大学 医学院附属第九人民医院血管外科，上海 200011；3. 上海交通大学 医学院 附属第九人民医院激光美容科，上海 200011
  • 出版日期:2017-08-28 发布日期:2017-09-28
  • 通讯作者: ?赵海光，电子信箱：sevilla2011@163.com
  • 作者简介:丁语（1983—），女，主治医师，硕士；电子信箱：53232587@qq.com

Analysis of short to medium-term efficiency of 1 470 nm laser with foam sclerotherapy to treat varicose veins of lower extremity

DING Yu1, WANG Xin2, WANG Bing1, ZHAO Hai-guang2, 3   

  1. 1. Department of Vascular Surgery, Fifth Hospital, Zhengzhou University, Zhengzhou 450000, China; 2.Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Jiao Tong University School of Medicine, Shanghai 200011, China; 3.Department of Laser and Aesthetic Medicine, Shanghai Ninth People’s Hospital, Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2017-08-28 Published:2017-09-28

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摘要： 目的 · 对比1 470 nm 激光联合硬化剂注射门诊治疗下肢静脉功能不全与住院高位结扎联合腔内激光及硬化剂注射手术治疗 下肢静脉功能不全的中短期疗效。方法 · 选取符合入组条件的77 例住院手术患者（住院手术组，大隐静脉高位结扎+808 nm 激光 联合硬化剂注射治疗）和21 例日间手术患者（门诊治疗组，1 470 nm 激光联合硬化剂注射治疗），对其临床资料进行回顾性分析。 结果 · 门诊治疗组与住院手术组中短期大隐静脉闭合效果无明显差异；门诊治疗组术后 1 ～ 12 个月并发症发生率和复发率并不高于 手术组，但在围术期舒适度、经济花费、回归正常生活工作时间上均优于住院手术组。结论 · 1 470 nm 激光联合硬化剂注射门诊治疗 下肢静脉功能不全与住院高位结扎联合腔内激光及硬化剂注射手术治疗有相似的疗效，但安全性、舒适度高，创伤更小，并可简化住 院程序，降低医疗成本，可作为一种新的选择方案提供给患者。

关键词:  1 470 nm 激光, 下肢静脉曲张, 日间诊疗, 硬化疗法

Abstract:

Objective · To compare the short and medium-term efficiency and safety of 1 470 nm laser with foam sclerotherapy with ligation of great saphenous vein and 808 nm laser with foam sclerotherapy to treat varicose veins of lower extremity.  Methods · Seventy-seven hospitalized patients patients and twenty-one day-surgery patients were retrospectively analyzed.  Results · There was no obvious difference in the closure of great saphenous vein for short to medium-term efficiency between the day-surgery group and hospitalized group. The postoperative complications and recurrence rate of day-surgery group was not higher than that of the hospitalized group, but the degree of perioperative comfort, economic cost and the time returning to normal life of day-surgery group were superior to that of the hospitalized group.  Conclusion · 1 470 nm laser with foam sclerotherapy with ligation of great saphenous vein and 808 nm laser with foam sclerotherapy to treat varicose veins of lower extremity had similar clinical effect, but the degree of safety and comfort was higher and trauma was less. The day surgery with 1 470 nm laser to treat varicose vein of lower extremity could also simplify the procedure of hospitalization and reduce the cost of health care, which could be a new option for patients.

Key words: 1 470 nm laser, lower extremity varicose veins, day surgery, sclerotherapy