Endovenous laser closure operation combined with point-like incision fragmented off penetrating lower extremity venous ulcer treatment.docVIP

 PAGE \* MERGEFORMAT 6 Endovenous laser closure operation combined with point-like incision fragmented off penetrating lower extremity venous ulcer treatment [Keywords:] point of laser surgery incision closed fragmented off penetrating venous ulcer patients Chronic venous insufficiency (chronic venous insufficiency, CVI venous leg ulcers caused by clinical common, but difficult to treat. Perforating branch caused by venous insufficiency of lower extremity venous hypertension, is the main reason for venous ulcers. In this study, cavity laser surgery combined with point-like incision closed penetrating fragmentation off treatment of 24 cases of venous leg ulcers, reported as follows. 1 Materials and Methods 1.1 General Information March 2006 ~ 10 months in Northern Jiangsu Province People’s Hospital, closed vascular surgical operation combined with results of laser-like cut-through point off fragmented venous leg ulcer treatment in 24 cases, 16 males and 8 females. Age 31 74 years old, average age of 48.6 years. a history of 5 to 26 years, 3 months history of ulceration of 4.5 years. 15 cases of left leg, right lower limb in 7 cases, 2 cases of lower limbs, a total of 26 limbs. the whole group appeared as varying degrees of leg soreness, pain, lower extremity varicose veins, foot boots District dermatitis, pigmentation, etc., ulcer diameter of 1.5 ~ 4.5 cm. which has been done in 3 cases a high ligation of saphenous vein stripping surgery pumping. preoperative patients do deep venous angiography or Doppler ultrasound examination, suggesting that support both penetrating venous insufficiency, deep venous reflux 0 ~ grade 1 case had a history of surgery still see the great saphenous vein contrast enhancement. this group of patients with other causes have been excluded induced ulcers. 1.2 Methods semiconductor laser (Surglas, Wuhan Lingyun Optoelectronics, wavelength 810 nm. Preoperatively mark the varicose great saphenous vein and varicose vein bran