Endovenous laser obliteration for the treatment of primary varicose veins
Endovenous laser obliteration for the treatment of primary varicose veins
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静脉内激光闭塞治疗原发性静脉曲张
DOI：
10.1258/026835506777304683
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发表时间：
2006
期刊：
影响因子：
1.7
通讯作者：
P. Lissens
中科院分区：
文献类型：
--
作者：
M. Vuylsteke;D. V. D. Bussche;E. Audenaert;P. Lissens
目的：本研究的目的是比较微创腔内激光技术治疗原发性静脉曲张与传统的剥脱手术的短期恢复和经济活动的患者的成本。研究方法：对164例大隐静脉功能不全致静脉曲张患者进行了腔内激光闭塞术（n = 80，118条腿）或剥脱术（n = 84，124条腿）。术后发病率，镇痛药的需要和病假的持续时间进行了记录。成本比较包括直接医疗成本和患者生产力损失造成的成本。结果：总体而言，激光组的术后并发症较少。静脉腔内闭塞组的病假明显缩短（P<0.001）。虽然传统剥脱手术的可变成本低于静脉腔内激光手术，但由于患者生产力损失的差异，公共费用的总成本较高。结论：与剥脱术相比，静脉腔内激光闭塞术在减少术后疼痛、缩短病假和更快恢复日常职业活动方面可能具有优势，并且似乎可以节省社会成本。
Objective: The aim of this study was to compare the minimally invasive endovenous laser technique for treatment of primary varicose veins with the conventional stripping operation in terms of short-term recovery and cost for economically active patients. Methods: One hundred and sixty four patients with varicose veins caused by great saphenous vein insufficiency were assigned to the endovenous laser obliteration procedure (n = 80, 118 legs) or stripping operation (n = 84, 124 legs). Postoperative morbidity, the need for analgesics and the duration of sick leave were recorded. The comparison of costs included both direct medical costs and costs resulting from lost productivity of the patients. Results: Overall there were less postoperative complications in the laser group. Sick leave was significantly shorter in the endovenous obliteration group (P<0.001). Although the variable costs of the conventional stripping operation were lower than those of the endovenous laser procedure, the total costs at public expense were higher because of the difference in lost productivity of the patients. Conclusions: Endovenous laser obliteration may offer advantages over the stripping operation in terms of reduced postoperative pain, shorter sick leave and faster return to usual occupational activities, and it appears to be cost-saving for society.