Clinical analysis of endovenous laser treatment on varicose veins of lower extremity

Objective To evaluate the clinical effect and complication of endovenous laser treatment (EVLT) on varicose veins of lower extremity.Methods The clinical data of 232 cases with varicose veins of lower extremity treated by EVLT from August 2003 to April 2005 were summarize retrospectively.Results 102 limbs of 72 patients were treated by EVLT only,the recurrence rate was 21.57%(22/102),282 limbs of 160 patients were treated by EVLT combing with high ligation of great saphenous vein,the recurrence rate was 1.42%(4/282).The complications after operation was stagnant blood (22/384,5.73%),phlebitis(61/384,15.89%),ambustion(15/384,3.91%),injury of saphenous nerve(72/384,18.75%) and femoral vein thrombosis(1/384,0.26%).Conclusion Combining both high ligation of great saphenous vein and EVLT may reduce recurrence rate and improve curative effect. The complications can be avoided when grasping the indication and operating correctly.