Abstract

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Title:: Ultrasound-guided endovascular laser therapy assisted by tumescent anesthetic solution in treating varicose veins in lower extremities

Author(s):: GAO Yinghong; ZHANG Mianhuan; the First Hospital of PLA, Lanzhou 730030, China

Keywords:: Keywords: ultrasound-guided tumescent anesthetic solution endovascular laser varicose veins in lower extremities

Abstract:: Abstract: Objective To investigate the clinical effect of endovascular laser therapy which is guided by ultrasound and is assisted by tumescent anesthetic solution in the treatment of varicose veins in lower extremities. Methods The clinical data of 23 patients with varicose veins in lower extremities treated with ultrasound-guided and tumescent anesthetic solution-assisted endovascular laser therapy were analyzed retrospectively. The intraoperative and postoperative pain was evaluated. After discharge, the changes in the clinical symptoms and signs of superficial varicose veins in lower extremities, and the remission of skin lesions such as pigmentation, eczema and ulcer were also analyzed. Results and conclusion The intraoperative VAS scores of 23 patients were 2-5 points (mean 2.8 points), and the VAS scores were 1-4 points (mean 1.3 points) at 6 hours after the operation. Twenty-three patients could get out of bed at 2 hours after operation and were discharged on 1-2 d pos-toperatively. The postoperative 3-6 months follow-up showed that the clinical symptoms and signs of superficial varicose veins in lower extremities were disappear in 19 patients, and the skin lesions such as pigmentation, eczema and ulcers were alleviated to varying degrees, and that among the 19 patients, 9 patients had no venous recanalization and recurrence in color?oppler?ltrasound examination.