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Đánh giá kết quả điều trị Lazer nội tĩnh mạch trong bệnh lý suy giãn tĩnh mạch nông chi dưới tại Bệnh viện Trung ương Huế với Lazer bán dẫn bước sóng 1470 NM
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Abstract
Objective: to evaluate the result of endovenous laser treatment for venous insufficiency.
Methods: this is a cross-sectional study including the patient with venous insufficiency who underwent diagnose and treatment at hue central hospital
Results: Lower limb venous insufficency (VI) is common. This disease is diagnosed by clinical symptoms and echodoppler. The surgical treatment remains a main method for this disease. Recently, there are many alternative methods for this disease such as sclerotherapy, radiofrequnce and laser ablation. Laser is one of effective methods for VI. Between december 2014 and november 2015, there were 72 patients with VI at stage C2-3 (CEAP classification) underwent endovenous laser ablation. Patients were from 20 to 78 years old with female and male ratio at 4/1. Patients with internal saphenous insufficency were 98,6% (71 cases) and only 1.4% with external saphenous diease. Most of them were treated with laser wavelength at 1470mm, power at 6-10W. There were 4 patients needed phlebectomy and 8 patients associated with sclerotherapy. Most of cases underwent local anesthesia, except for 4 patients needed spinal anesthesia (8%). The initial results were good, there were no complication related to the procedure. Most of patient were no pain after procedure. The number of patient with mild (no need of antalgics) and severe pain (needed fort antalgics for 5 days) after laser ablation were 4 cases and 1 case, respectively. 46 patients could return to daily activities at the day later.
Post procedure echography results at one week period: 100% of cases presented sclerosant veins and no intravenous flow, no deep venous thrombose. There were no recurrence at 3 and 6 month of medical revisit.
Conclusion: endovenous laser treatment is a method of preference for VI because of its advandtages such as miniinvasive technique, high successive percentage, minime complication, high aesthetics and early to return daily activities.
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* Bệnh viện Trung Ương Huế
References
2. Hồ Khánh Đức (2010), Điều trị suy tĩnh mạch nông chi dưới bằng phương pháp laser nội tĩnh mạch với laser bán dẫn bước sóng 810nm, tạp chí Y học Việt Nam, Tổng hội Y học Việt Nam, Tr.315-322.
3. Nguyễn Phước Bảo Quân (2012), “Phân tích thông tin trong siêu âm Doppler tĩnh mạch”, Siêu âm Doppler mạch máu, Nhà xuất bản Đại học Huế, tr. 156-170.
4. Gerard JL, Desgranges P, Becquemine J. Feasibility of endovenous laser fort the treatment of greater saphenous varicose veins: one month outcome in a series of 20 outpatients. J Mal Vasc 2002;27:222-5
5. Kenneth Myers, Rokert fris and Damien Jolley. Treatment of varicose veins by endovenous laser therapy: assessment of results by ultrasound surveillance, MJA 2006; 185 (4): 199-202.
6. Mark H, Meissner, Pannier F. Primary chronic venous disorders. J Vasc sur 2007;46:54s-65s.
7. Meissner M.H. et al (2007), “The hemodynamic and diagnosis of venous disease”, J Vasc Surg, 46(S), pp. 4S-24S.
8. Min R, Zimmet S, Isaacs M, Forrestal M. Endovenous laser treatment of the incompetent greater saphenous vein. J Vasc Interv Radiol 2001; vol 12 1167 – 71
9. Navarro L, Min R, Bone C. Endovenous laser: a new minimally invasive method of treatment for varicose veins – preliminary observation using an 810nm diode laser. Dermatol Surg 2001; 27: 117-22
10. Pannier F, Rabe E. Mid-term results following endovenous laser abation of saphenous veins with a 980nm diode laser. International Angiology – vol 27-12/200, p 475 – 481.
11. Thrush A., Hartshorne T. et al (2005), “Anatomy of the limb venous system and assessment of venous insufficiency”, Peripheral Vascular Ultrasound-How, When and Why, 2nd Edition, Elsevier, pp.163-188.
12. Zygmunt J.Jr. (2009), “What is new in duplex scanning of venous system”,Perspect Vasc Surg Endovasc Ther, 21(2), pp. 94-104.