KẾT QUẢ BƯỚC ĐẦU ĐIỀU TRỊ SUY TĨNH MẠCH MẠN, GIÃN TĨNH MẠCH DƯỚI DA CHI DƯỚI BẰNG LASER NỘI TĨNH MẠCH TẠI BỆNH VIỆN NHÂN DÂN 115 TP.HCM

Abstract

Background: Chronic venous insufficiency and varicose veins of the lower extremities are quite common. Studies in Hochiminh city show that around 40.6% of peoples > 50 years old have this condition. The majority of these patients are in the early stage of disease and be managed conservatively. Surgical intervention is carried out when patients are on grade 3 or 4 of disease. Currently, endovascular interventions with less invasive procedure is the priority. Especially, endovenous laser therapy has proved an advantage procedure and to be accepted by patients.
Objective: Evaluate the results soon after implementing endovenous laser therapy in chronic venous insufficiency and varicose veins of the lower extremities treatment.
Methods: Prospective, cross-sectional descriptive study. It had been done in 2 years (8/2011- 8/2013). Assessment of treatment outcomes by clinical evaluation and postoperative Doppler ultrasound examination.
Results: In 2 years, 250 cases of chronic venous insufficiency and varicose veins of lower extremities had been treatment by endovenous laser therapy. Number of female patients higher than men. Most of patients had age from 45 to 65 and have disease of grade 3 or 4. Nearly 50% of the cases have saphenous vein valve insufficiency in both legs. Endovenous laser procedure was performed safely on this group of patients with good results 98%, only 2% of patients which had thigh’s superficial venous thrombosis with skin color changed complaint pain and mild swollen. We hve not seen any case with severe complicationsafter endovenous laser treatment.
Discussion and Conclusions: Chronic venous insufficiency and varicose veins of the lower extremities is quite common in the community. Most of patients do not pay attention to mild symptoms of disease, except complications come. Endovenous laser therapy for these patients have good result and high success rate. A small number of patients have pain or mild hematoma in intervention sites, but rapidly recovered.