Endovenous Laser Surgery of the Incompetent Greater Saphenous Vein With a 980‐nm Diode Laser
Endovenous Laser Surgery of the Incompetent Greater Saphenous Vein With a 980‐nm Diode Laser
复制标题
使用 980 nm 二极管激光器对功能不全的大隐静脉进行腔内激光手术
DOI：
10.1046/j.1524-4725.2003.29353.x
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发表时间：
2003
影响因子：
2.4
通讯作者：
K. Kwon
中科院分区：
文献类型：
--
作者：
C. Oh;Do‐Sang Jung;H. Jang;K. Kwon
近年来，研究人员一直在探索最小的腔内侵入替代手术结扎和剥离治疗功能不全的大隐静脉（GSV）。腔内激光手术是其中一种腔内替代手术，其临床结果长达3年。目的评价980 nm二极管激光治疗不良性GSV的安全性和有效性。方法对12例不合格GSV患者的15条肢体在门诊局部麻醉下经980 nm激光静脉内治疗。在治疗后1周、4周和12周进行双工超声临床评价，以确定疗效和可能的并发症。结果在术后12周内，所有患者均能观察到治疗后的GSV完全闭塞和回缩。没有明显的并发症值得关注。结论静脉内980纳米二极管激光手术是一种相对简单、安全、基于办公室的手术，在等待长期随访的同时有望获得良好的效果。
BACKGROUND In recent years, the minimal endoluminal invasive alternatives against surgical ligation and stripping for the treatment of incompetent greater saphenous vein (GSV) have been explored. Endovenous laser surgery is one of these endoluminal alternatives, and its clinical results are being reported at up to 3 years. OBJECTIVE To evaluate the safety and efficacy of a 980-nm diode laser for the elimination of the incompetent GSV. METHOD Fifteen limbs in 12 patients with incompetent GSV were treated via an endovenous route with a 980-nm laser under local anesthesia in an outpatient setting. The effects were evaluated clinically along with duplex ultrasound at 1, 4, and 12 weeks after the treatment to determine efficacy and possible complications. RESULTS Complete occlusion and retraction of treated GSV in all patients were observed during the 12 weeks of the postoperative period. There have been no significant complications to be concerned. CONCLUSION The endovenous 980-nm diode laser surgery is a relatively simple, safe, office-based procedure that is expected to promise favorable results while a long-term follow-up is awaited.