静脉腔内激光联合多种术式治疗下肢静脉曲张.docVIP

静脉腔内激光联合多种术式治疗下肢静脉曲张 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：静脉腔内激光联合多种术式治疗下肢静脉曲张 1 1 临床资料 3 2 结果 4 3 讨论 4 文2：激光联合大隐静脉高位结扎治疗下肢静脉曲张的护理 6 1 资料与方法 7 2 结果 7 3 护理措施 8 4 讨论 10 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 静脉腔内激光联合多种术式治疗下肢静脉曲张 文1：静脉腔内激光联合多种术式治疗下肢静脉曲张 【Abstract】 Objective To Clinical evaluation of therapeutic effects of endovenous laser treatment (EVLT) combined with other surgical techniques for treatment of varicose vei of lower extremities. Methods 89 patients with 95 suffered limbs underwent single endovenous laser treatment or combined treatments. Five main strategies were involved: 1. simple endovenous laser treatment(34 limbs) ; 2. endovenous laser treatment combined with high ligation of great saphenous vein(25 limbs) ; 3. endovenous laser treatment combined with external banding valvuloplasty of superficial femoral vein and high ligation of great saphenous vein(25 limbs) ; 4. endovenous laser treatment combined with Subfascial Endoscopic Perforator Surgery (SEPS)( 19 limbs) 5. endovenous laser treatment combined with compression sclerotherapy( 6 limbs) . Results Occlusion of the varicose vei were obtained in all patients after the initial treatment, but in three cases (%), varicose vei recurred a second time, which were also successfully treated with EVLT. All patients were followed up for 1-24 months (mean months) with satisfactory results. Conclusion Endovenous laser treatment is a novel treatment for varicose vei with the advantages of increased safety and effectiveness with minimal-invasiveness. Its indicatio can be expanded and better results can be achieved by combining EVLT with other surgical treatments. 【Key words】 endovenous laser treatment lower extremities varicose vei 下肢静脉曲张是血管外科的常见病、多发病，其患病率在我国为10%［１］。经典的手术方式包括曲张静脉结扎、抽剥术、各种深静脉瓣膜重建术和内镜下交通支静脉离断术等。1999年Bone首先报道静脉腔内激光(EVLT)治疗静脉曲张［２］。EVLT治疗的原理是激光光纤与静脉壁紧密接触，将激光能量传送到静脉壁，引起静脉壁破坏，导致静脉壁增厚、收缩、纤维化，最终静脉腔闭合［３］。目前EVLT已逐渐成为治疗静脉曲张的一个新的方法。2004年7月至2006年7月，本科应用EVLT联合多种术式治疗下