Under-ulcer sector-punctured ablation in the laser treatment of lower limb venous ulcers
Abstract：Objective To evaluate the method of under-ulcer sector-punctured ablation in the laser treatment of lower limb venous ulcers. Methods A total of 104 patients with lower limb venous ulcers admitted between January 2010 and May 2015 in the Sixth Affiliated Hospital, Shanghai Jiao Tong University School of Medicine were divided into two groups. Patients underwent routine endovascular venous laser therapy (EVLT) plus under-ulcer sector-punctured ablations were set into the study group,while routine EVLT as the controlled group. All the patients received the dressing change after operations. The ulcer healing rate,healing time,numbness,burning sensation,ecchymosis,skin burns and the incidence of limb edema in the two groups were revealed. The ulcer healing time of the two groups were calculated by Kaplan-Meier analysis. Results The ulcers healing rate in study group was significantly higher than that in control group (85.5%vs. 52.4%,χ2=25.658,P=0.00),while the ulcer survival time was much lower(2.59 ± 0.11)w vs.(3.12 ± 0.16)w,χ2=6.133,P=0.01). There was no significant difference in the numbness,burning sensation,ecchymosis,skin burns and the incidence of limb edema between the two groups (P>0.05); Neither adverse invents nor complication occurred. Conclusion The method of under-ulcer sector-punctured ablation blocked the reflux in perforator veins seems to be a satisfied,safe therapy in the laser treatment of lower limb venous ulcer.
Keywords：sector puncturelaservenous ulcers
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1314-1317 )