中国现代手术学杂志2019，Vol.23Issue(1)：18-20,3.DOI:10.16260/j.cnki.1009-2188.2019.01.004
激光焊接技术修复深静脉瓣膜功能不全初步探讨
The Basic Study on the Repair of Deep Venous Valve Insufficiency by Laser Welding
摘要
Abstract
Objective To investigate the new technique of laser welding for the repair of deep venous valve insufficiency and to summarize the clinical experience. Methods A total of 40 patients with primary deep venous valve insufficiency were selected, and the superficial femoral vein valve rings were exposed with a small femoral incision under epidural anesthesia. The femoral vein valve rings were folded and welded with the laser output power of 3 W. The valve insufficiency was repaired through venous lumen being constricted. The superficial varicose veins were closed with the laser power of 6 W through endovascular photocoagulation. The following-up was made by Doppler ultrasound for 6 to 36 months. Results All patients gained off the bed after 6 hour of the operation and free movement in 3 days. There were 4 cases appeared ecchymosis in lower extremities, which was completely disappeared within 10 days after the operation. The intradermal suture was removed on the day 7 with the wound healed well and the tortuous expansion of superficial vein disappeared. No complications as subcutaneous hematoma, skin burns, lymphatic leakage or lower extremity edema were found in all cases. At the 3, 6, 12, 24 and 36 months after the operation, the great saphenous vein and varicose superficial vein were closed, and no regurgitation was found in the repair of deep vein valve. All patients were followed up from 6 months to 36 months with an average of 16 months and no recurrence was found. Conclusion Laser welding is a good minimally invasive method for the repair of deep venous valve insufficiency, which is worthy to be further study and application.关键词
深静脉关闭不全/激光焊接/静脉瓣膜/微创手术Key words
deep venous insufficiency/laser welding/venous valve/minimally invasive surgery分类
医药卫生引用本文复制引用
王春喜,刘庆,曾晶,肖占祥,杜毅,徐明月,刘志为..激光焊接技术修复深静脉瓣膜功能不全初步探讨[J].中国现代手术学杂志,2019,23(1):18-20,3.基金项目
国家重点研发计划(2018YFB0407203), 海南省重点研发计划(ZDYF2018101), 海南省自然基金创新团队项目(2017CXTD012), 三亚市医疗卫生科技创新项目(2017YW20), 解放军总医院转化医学项目(2016TM -036), 三亚市院地科技合作项目(2017YD15) （2018YFB0407203）
