【摘要】 目的 初步评价腔内激光联合手术治疗下肢静脉曲张的疗效。方法 全组下肢静脉曲张患者28例，共38条下肢。按病因和病情的不同，采用3种手术治疗：(1)临床表现明显的原发性下肢深静脉瓣膜功能不全者4条下肢，作股浅静脉瓣膜包窄+大隐静脉高位结扎+EVLT+SEPS术；(2)轻度原发性深静脉瓣膜功能不全者15条下肢，作大隐静脉高位结扎+EVLT+SEPS；(3)单纯性大隐静脉曲张者19条下肢，作大隐静脉高位结扎+EVLT。结果 平均随访11个月，全组患者均无复发；临床症状和体征消退或好转，彩超检查示大隐静脉均全程闭合，无血流信号。结论 EVLT具有无创、安全、操作简便和疗效良好的优点，联合手术治疗下肢静脉病变的效果满意。

    【关键词】 静脉腔内激光治疗；下肢静脉曲张；瓣膜重建术

    Preliminary report on efficacy of EVLT used in combination with surgery in the treatment of venous disease in lower limbs

    LIU Xian-luo,LIU Xiao-gang,TANG Yong-sheng,et al.

    Research Department of Vascular Surgery,Hefei Munnicipal Second People’s Hospital,Hefei 230011,China

    【Abstract】 Objective To evaluate the preliminary results of EVLT in combination with surgery in treating venous disease of lower limbs.Methods Twenty-eight patients with a total of 38 disease lower limbs underwent EVLT with concomitant surgery.Three therapeutic entities were included：①severe primary reflux of the deep veins (4 limbs)：EVLT+external banding valvuloplasty of superficial femoral vein+high-ligation at the saphenofemoral junction+SEPS；②mild primary reflux of the deep veins (15 limbs)：EVLT+high-ligation of saphonofemoral junction+SEPS；③simple saphenous varicosity (19 limbs):EVLT+high-ligation of great saphenous vein.Results All patients were followed up with a mean of 11 months with satisfactory outcomes.Conclusion EVLT in combination with surgery is a new therapeutic entity possessing advantages of safety,easy-performance,minimal invasiveness and good results. ......