关键词: 静脉曲张, 穿通静脉, 内镜深筋膜下穿通静脉离断术, 腔内激光治疗

Abstract: Objective To evaluate the feasibility of subfascial endoscopic perforator surgery (SEPS) combined with endovenous laser treatment (EVLT) in treatment of lower extremity varicose vein. Methods A total of 81 limbs with valve insufficiency of venous perforators diagnosed by ascending phlebography from August 2016 to October 2017 were selected including 40 limbs received SEPS combining with EVLT and preservation of greater saphenous vein as study group and 41 limbs received classic stripping of greater saphenous vein with high ligation as control group. Results Varicosities and tributaries of patients in 2 groups were all disappeared with skin pigmentation lightened and ulcer healed. The symptoms did not recur during the period of follow-up from 5 to 11 months. The operation time in study group was less than that in control group (1.1 h vs 3.0 h, P<0.01) and the incision number was less in study group than in control group (2.1 vs 5.8, P<0.01). Decrease in hospital stay (1.1 d vs 3.9 d, P<0.01) and ecchymosis area of lower extremities (5.2 cm² vs 20.3 cm², P<0.01) in study group was found when compared those in control group. The difference all had statistical significance. Conclusions SEPS combined with EVLT and preservation of greater saphenous vein in treatment of lower extremity varicose vein would be minimal invasive and recover quickly.

Key words: Varicose vein of lower extremity, Perforator, Subfascial endoscopic perforator surgery, Endovenous laser treatment