[1]党永康,赵海涛,郭建全,等.电凝术治疗下肢静脉曲张168例中长期随访报告[J].中国微创外科杂志,2009,09(12):1129-1133.
　Dang Yongkang,Zhao Haitao,Guo Jianquan,et al.Longterm Followup of Patients with Varicose Veins of the Lower Extremities Treated by Electrocoagulation[J].Chinese Journal of Minimally Invasive Surgery,2009,09(12):1129-1133.
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电凝术治疗下肢静脉曲张168例中长期随访报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年12期
页码:
1129-1133
栏目:
出版日期:
2009-12-31

文章信息/Info

Title:
Longterm Followup of Patients with Varicose Veins of the Lower Extremities Treated by Electrocoagulation
作者:
党永康; 赵海涛; 郭建全; 鲍永涛; 徐景巍
内蒙古赤峰市医院血管外科，赤峰024000
Author(s):
Dang Yongkang;  Zhao Haitao;  Guo Jianquan;  et al.
Department of Vascular Surgery, Chifeng Hospital, Chifeng 024000, China
关键词:
静脉曲张; 下肢; 电凝术
Keywords:
Varicose veins; Lower extremity; Electrocoagulation
分类号:
R654.3
文献标志码:
A
摘要:
目的总结电凝术治疗下肢静脉曲张的疗效。方法2000年4月~2007年4月电凝法治疗下肢静脉曲张168例238条肢体。经踝大隐静脉主干顺行插入电凝器至大隐静脉根部，高位结扎后用电凝针及电凝器分别电凝静脉曲张团块及大隐静脉主干。结果术后住院时间1~2 d，无切口感染。踝周溃疡4周内全部愈合。近期并发症：局部皮肤Ⅰ度灼伤1例1条肢体，Ⅱ度灼伤1例1条肢体；浅静脉炎痛2例2条肢体；踝周麻感10例14条肢体。随访148例208条肢体，时间2~9年，平均6.6年，复发率3.4%（7/208）；下肢酸胀感缓解率95.3%（162/170）；皮炎及湿疹缓解85.7%（12/14）；踝周色素沉着缓解率41.7%（15/36）；胫前及踝周水肿缓解率为36.4%（16/44）。结论电凝术创伤小，术后恢复快，复发率低，疗效可靠，是治疗下肢静脉曲张的理想方法。
Abstract:
ObjectiveTo summarize the therapeutic efficacy of electrocoagulation for varicose veins of the lower extremities.MethodsTotally 168 cases (238 limbs) of varicose veins of the lower extremities were treated with electrocoagulation in our department from April 2000 to April 2007. Through a small ankle incision, electrocoagulation probe was inserted ascendingly into the groin via the great saphenous vein. After high ligation of the great saphenous vein, the varicose veins and great saphenous trunk were electrocoagulated.ResultsThe patients were discharged from hospital in one to two days after the operation. None of them had incisional infection. The ulcers at the ankle were healed in four weeks. Postoperative complications in this series, included Ⅰ degree burn injury in one limb,Ⅱ degree burn injury in one limb, superficial phlebitic pain in two limbs (two cases); and numbness around the ankle in 14 limbs (10 cases). Totally 148 cases with 208 limbs were followed up for 2 to 9 years with a mean of 6.6 years. During the period, the rate of recurrent varicosity was 3.4% (7/208); and healing rates of ache, dermatitis and eczema, ankle pigment, swelling around the calf and ankle were 95.3% (162/170), 85.7% (12/14), 41.7% (15/36) and 36.4% (16/44) respectively.ConclusionElectrocoagulation is a minimally invasive and effective method for the treatment of varicose veins of the lower extremities, with quick recovery and low rate of recurrence.

参考文献/References:

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更新日期/Last Update: 2014-01-08