Endovenous ablation with laser for great saphenous vein insufficiency and tributary varices: A retrospective evaluation
Endovenous ablation with laser for great saphenous vein insufficiency and tributary varices: A retrospective evaluation
复制标题
激光静脉内消融治疗大隐静脉功能不全和支流静脉曲张：回顾性评估
DOI：
10.1016/j.jvs.2008.04.017
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发表时间：
2008-09-01
影响因子：
4.3
通讯作者：
Jiang, Mier
中科院分区：
文献类型：
--
作者：
Lu, Xinwu;Ye, Kaichuang;Jiang, Mier
背景：腔内激光消融(EVLA)是近年来用于治疗大隐静脉(GSV)返流的一种微创技术。我们报告了我们使用EVLA的经验，并评估了它的有效性。方法：在我们机构连续的一系列患者(639名女性[60%]和421名男性[40%]，年龄23-79岁)接受了EVLA治疗GSV反流和侧支静脉曲张。采用问卷调查法评估手术前后的症状。安全性评价的主要指标为死亡率和并发症，包括激光相关不良事件、术后感染、血栓事件等，疗效以静脉闭塞、静脉曲张消失等为评价指标。结果：所有患者术后3d和10~14d均恢复日常活动和工作，耐受性良好。EVLA加GSV结扎治疗后2周全部闭塞，6个月后1186例中有1169例闭塞(99%)，再治疗率低(36/1186)。结论：EVLA可以减少和缓解静脉曲张相关症状，达到美容的目的。暴露于激光能量之前的静脉排空和之后的压迫治疗可能会改善结果。
Background: Endovenous laser ablation (EVLA) is a minimally invasive technique for treating great saphenous vein (GSV) reflux for several years. We report our experience with EVLA and evaluate its effectiveness.Methods: A consecutive series of patients (639 women [60%] and 421 men [40%,], age 23 to 79 years) were treated by EVLA for GSV reflux and tributary varices at our institution. A questionnaire was used to assess preoperative and postoperative symptoms. The primary outcomes for assessing safety were mortality and morbidity, including laser-related adverse events, postoperative infection, thrombotic events, etc. Effectiveness was assessed by the obliteration of the vein, disappearance of varicosities, and so on.Results: All patients tolerated the procedure well, recovered uneventfully, and returned to daily activities and work 3 days and 10 to 14 days, respectively, after the operation. Treatment with EVLA plus ligation of the GSV resulted in occlusion in all cases at 2 weeks follow-up and in 1169 of 1186 (99%) at 6-month follow-up; the rate of retreatment was low, (36/1186). Complications were minor and improved quickly.Conclusions: EVLA call reduce and relieve symptoms associated with varicose veins and achieve cosmetic goals. Vein emptying before exposure to laser energy and compression treatment afterwards may improve results.