Objective: To assess the indication, preliminary efficacy and complication of Endovenous Laser Treatment (EVLT) for varicose veins of lower extremities and to investigate the improvement of EVLT.Methods: A study was carried out on 103 limbs of 69 patients with varicose veins after proper patient selection. All limbs were treated by EVLT, and the follow-up of 6~18 months were evaluated to determine efficacy and complications of EVLT.Results: The saphenous veins were closed in 102 of 103 lower extremities after EVLT, and one greater saphenous vein was closed after repeat treatment. Three cases left four isolated branch varicosities. The frequent traumatic response are ecchymoses, tenderness and induration. There were no significant complications and no recurrence at 6~18 months after EVLT. Conclusion: Endovenous Laser Treatment is a safe and effective technique for the patient of clinical stages C2 to C5 with primary varicose veins of lower extremities. The easy operation and beautiful appearance may make it a successful minimally invasive alternative for a wide group of patients that previously would have required ligation and stripping. The long-term results of EVLT need to study in spite of the early satisfied results. |