超声定位及肿胀麻醉下腔内激光闭合联合泡沫硬化剂注射治疗轻中度下肢浅静脉曲张

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Abstract Objective: To evaluate the efficacy and safety of endovenous laser treatment combined with foam seleretherapy for varicose veins of the lower limbs. Methods: According to the standard of varicose veins of the lower limbs, 79 patients (93 limbs) were selected. The trunk of great saphenous vein was treated with EVLT in ultrasonic positioning and swelling anesthesia and then sclerosing foam was injected into the tributary of the GSV. Ultrasound venous reflux was evaluated and the related postoperative complications after one week was reviewed 1 month, 3-month and 6-month postoperative was followed-up. Results: There was different degree of decline in the CEAP classification and no obvious pain was found in all patients after one postoperative week. There were no lower extremity deep venous thrombos, pulmonary embolism and other serious complications. There were 4 cases of superficial thrombophlebitis, 3 cases of pigmentation, 2 cases of saphenous nerve injury.There were no residual and recurrence of varicose in postoperative 3-month and 6-month follow-up. Conclusion: The treatment of varicose veins of lower extremity by endovenous laser combined with foam sclerotherapy is a safe and effective minimally invasive surgical procedure in ultrasonic positioning and swelling anesthesia.

Key words： ultrasonic lower extremity superfical varicose veins foam sclerotherapy endovenous laser therapy swelling anesthesia

Received: 17 May 2017

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	MEI Tong
	XU Tingting
	HUANG Weijin
	CHEN Jinhui
	TANG Tao
	LU Yongming.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I2/135