Comparison of Immediate Therapeutic Effects Between Endovenous Laser Treatment and Conventional Surgical Therapy for Lower Extremity Varicosity_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Zhigang , LEI Zehua , YU Shenlin

Department of General Surgery, People’s Hospital of Leshan City, Leshan 614000, Sichuan Province, ChinaCorresponding Author: WANG Zhi-gang, E-mail: wang73914@yahoo.com.cn;

Corresponding author：

Keywords：

Endovenous laser treatment; Lower extremity varicosity; Ligation; Immediate therapeutic effect

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Abstract Full text Figures/Tables Video References Cited by

　　Objective 　To compare the immediate therapeutic effects between endovenous laser treatment and conventional surgery for lower extremity varicosity.
　　Methods 　Data of 350 limbs of 275 patients treated by endovenous laser treatment (endovenous laser treatment group) and 310 limbs of 210 patients by traditional surgery (traditional surgery group) were analyzed and compared in terms of operation time, number of the incision, postoperative pain, complications, postoperative hospitalized duration and 1-year recurrence rate.
　　Results 　Endovenous laser treatment group had shorter operation time, fewer incisions, less postoperative pain and shorter postoperative hospitalized duration than traditional surgery group (P lt;0.05). The complications and 1-year recurrence rate had no significant differences between two groups (P gt;0.05).
　　Conclusion 　As a safe and effective new treatment for lower extremity varicosity with minimal invasiveness and no left scars, endovenous laser treatment has the potential to replace conventional surgery and extend the surgical indications for lower extremity varicosity treatment.

Citation： WANG Zhigang,LEI Zehua,YU Shenlin. Comparison of Immediate Therapeutic Effects Between Endovenous Laser Treatment and Conventional Surgical Therapy for Lower Extremity Varicosity. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(4): 372-375. doi: Copy

1.	赵军, 董国祥. 下肢静脉曲张伴原发性深静脉瓣膜功能不全手术方法的探讨 [J]. 中华普通外科杂志, 2002; 17(1): 20-21.
2.	张柏根. 下肢慢性静脉功能不全与CEAP分类系统 [J]. 外科理论与实践， 2005； 10(1): 1-3.
3.	时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识 [J]. 中国普外基础与临床杂志, 2009; 16(6): 421-424.
4.	王磊, 侯宝忠, 于威, 等. 外科治疗原发性下肢静脉曲张 [J]. 中国普外基础与临床杂志, 2007; 14(5): 605-607.
5.	卢明书, 王豪夫. 静脉腔内激光治疗下肢静脉曲张机制 [J]. 中国现代普通外科进展, 2005; 8(4): 204-205.
6.	Proebstle TM, Lehr HA, Kargl A, et al. Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles [J]. J Vasc Surg, 2002; 35(4): 729-736.
7.	Weiss R. Commentary on endovenous laser [J]. Dermatol Surg, 2001; 27(3): 326-327.
8.	Van de Scheur M, Falanga V. Pericapillary fibrin cuffs in venous disease. A reappraisal [J]. Dermatol Surg, 1997; 23(10): 955-959.
9.	Navarro L, Min RJ, Boné C. Endovenous laser: a new minimally invasive method of treatment for varicose veins－preliminary observations using an 810 nm diode laser [J]. Dermatol Surg, 2001; 27(2): 117-122.
10.	Min RJ, Zimmet SE, Isaacs MN, et al. Endovenous laser treatment of the incompetent greater saphenous vein [J]. J Vasc Interv Radiol, 2001; 12(10): 1167-1171.
11.	Min RJ, Khilnani N, Zimmet SE. Endovenous laser treatment of saphenous vein reflux: long-term results [J]. J Vasc Interv Radiol, 2003; 14(8): 991-996.
12.	Weiss RA. Comparison of endovenous radiofrequency versus 810 nm diode laser occlusion of large veins in an animal model [J]. Dermatol Surg, 2002; 28(1): 56-61.
13.	刘鹏, 王非, 林凡, 等. 激光治疗下肢静脉曲张200例报告 [J]. 中国实用外科杂志, 2003; 23(4): 240-241.
14.	梅家才, 汪昱, 伍波, 等. 腔内激光微创治疗下肢静脉曲张450例报告 [J]. 中国微创外科杂志, 2007; 7(7): 617-618.
15.	Puggioni A, Kalra M, Carmo M, et al. Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: analysis of early efficacy and complications [J]. J Vasc Surg, 2005; 42(3): 488-493.
16.	禄韶英，祈光裕，孙学军，等. 血管腔内激光治疗下肢浅静脉曲张的初步观察 [J]. 中国普外基础与临床杂志, 2004; 11(5): 前插.
17.	陈学东，王育红，刘刚. 激光治疗大隐静脉曲张18例报告 [J]. 中国普外基础与临床杂志, 2004; 11(4): 324.
18.	黄英，李维敏，陆信武，等. 腔内激光联合手术治疗下肢静脉功能不全208例报告 [J]. 外科理论与实践, 2004; 9(1): 40-41.
19.	陈学东，王育红，姜福亭, 等. 下肢静脉曲张疾病腔内激光治疗并发症的防治 [J]. 中国普通外科杂志， 2006; 15(12): 935-937.
20.	Manfrini S, Gasbarro V, Danielsson G, et al. Endovenous management of saphenous vein reflux [J]. J Vasc Surg, 2000; 32(2): 330-342.

1. 赵军, 董国祥. 下肢静脉曲张伴原发性深静脉瓣膜功能不全手术方法的探讨 [J]. 中华普通外科杂志, 2002; 17(1): 20-21.
2. 　张柏根. 下肢慢性静脉功能不全与CEAP分类系统 [J]. 外科理论与实践， 2005； 10(1): 1-3.
3. 　时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识 [J]. 中国普外基础与临床杂志, 2009; 16(6): 421-424.
4. 　王磊, 侯宝忠, 于威, 等. 外科治疗原发性下肢静脉曲张 [J]. 中国普外基础与临床杂志, 2007; 14(5): 605-607.
5. 　卢明书, 王豪夫. 静脉腔内激光治疗下肢静脉曲张机制 [J]. 中国现代普通外科进展, 2005; 8(4): 204-205.
6. 　Proebstle TM, Lehr HA, Kargl A, et al. Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles [J]. J Vasc Surg, 2002; 35(4): 729-736.
7. 　Weiss R. Commentary on endovenous laser [J]. Dermatol Surg, 2001; 27(3): 326-327.
8. 　Van de Scheur M, Falanga V. Pericapillary fibrin cuffs in venous disease. A reappraisal [J]. Dermatol Surg, 1997; 23(10): 955-959.
9. 　Navarro L, Min RJ, Boné C. Endovenous laser: a new minimally invasive method of treatment for varicose veins－preliminary observations using an 810 nm diode laser [J]. Dermatol Surg, 2001; 27(2): 117-122.
10. 　Min RJ, Zimmet SE, Isaacs MN, et al. Endovenous laser treatment of the incompetent greater saphenous vein [J]. J Vasc Interv Radiol, 2001; 12(10): 1167-1171.
11. 　Min RJ, Khilnani N, Zimmet SE. Endovenous laser treatment of saphenous vein reflux: long-term results [J]. J Vasc Interv Radiol, 2003; 14(8): 991-996.
12. 　Weiss RA. Comparison of endovenous radiofrequency versus 810 nm diode laser occlusion of large veins in an animal model [J]. Dermatol Surg, 2002; 28(1): 56-61.
13. 　刘鹏, 王非, 林凡, 等. 激光治疗下肢静脉曲张200例报告 [J]. 中国实用外科杂志, 2003; 23(4): 240-241.
14. 　梅家才, 汪昱, 伍波, 等. 腔内激光微创治疗下肢静脉曲张450例报告 [J]. 中国微创外科杂志, 2007; 7(7): 617-618.
15. 　Puggioni A, Kalra M, Carmo M, et al. Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: analysis of early efficacy and complications [J]. J Vasc Surg, 2005; 42(3): 488-493.
16. 　禄韶英，祈光裕，孙学军，等. 血管腔内激光治疗下肢浅静脉曲张的初步观察 [J]. 中国普外基础与临床杂志, 2004; 11(5): 前插.
17. 　陈学东，王育红，刘刚. 激光治疗大隐静脉曲张18例报告 [J]. 中国普外基础与临床杂志, 2004; 11(4): 324.
18. 　黄英，李维敏，陆信武，等. 腔内激光联合手术治疗下肢静脉功能不全208例报告 [J]. 外科理论与实践, 2004; 9(1): 40-41.
19. 　陈学东，王育红，姜福亭, 等. 下肢静脉曲张疾病腔内激光治疗并发症的防治 [J]. 中国普通外科杂志， 2006; 15(12): 935-937.
20. 　Manfrini S, Gasbarro V, Danielsson G, et al. Endovenous management of saphenous vein reflux [J]. J Vasc Surg, 2000; 32(2): 330-342.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison of Immediate Therapeutic Effects Between Endovenous Laser Treatment and Conventional Surgical Therapy for Lower Extremity Varicosity

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