[摘要] 目的：探讨静脉腔内激光在治疗下肢淤滞性溃疡方面的临床应用价值。方法：对我院共收治的下肢静脉曲张合并慢性溃疡21例患者，均行静脉腔内激光治疗大隐静脉曲张，同时激光烧灼溃疡面下的曲张静脉及交通静脉，术后弹力绷带加压包扎半个月，改穿弹力袜3~6个月。结果：21例溃疡均于3~6周愈合，经随访，最长23个月，未见溃疡复发。结论：静脉腔内激光(EVLT)是一种较好的治疗下肢淤滞性溃疡的方法，操作简单，创伤小，恢复快，值得推广应用。

    [关键词] 腔内激光治疗(EVLT)；淤滞性溃疡；交通支

    [中图分类号]R654.4 [文献标识码]C [文章编号]1673-7210(2008)03(c)-148-02

    Observation of curative effect on the endovenous laser treatment of stasis ulcer in lower extremities

    GUO Zhi-gang,LI Li-bin ,SUN Xiu-jie,WANG Zhen-hui,LI Dong,FU Bin-bin

    (Second Surgery Department ，General Hospital of The Xingtai Mining Industry Group under The Jinneng Group of Hebei ,Xingtai 054000,China)

    [Abstract] Objective: To explore the clinical value of the endovenous laser treatment on stasis ulcer in lower extremities. Methods: Endovenous laser treatment of varicose great saphenous veins was applied to 21 patients of the chronic ulcer complicated to lower limbs venous varicosis , aided by cauterize with laster on varicose vein and perforating vein under the ulcer surface. After treatment, leg bandage compression was used for 0.5 months, and then changed to elastic stockings for 3~6 months. Results: 21 cases of the ulcer were healed up in 3~6 weeks , and there was no recurrence in the maximal followed-up for 23 months. Conclusion: The endovenous laser treatment is an effective treatment. The operation is simple, safety and effective, which is worthy of clinic application. ......