Cov leeg ntshav qis ntawm ceg yog cov kab mob uas tshwm sim ntau thiab feem ntau tshwm sim hauv kev phais mob hlab ntsha. Kev kho mob thaum ntxov rau kev mob ntawm cov kua qaub ncaug ntawm ceg, cov leeg ntshav qis qis, nrog rau kev nce qib ntawm tus kab mob, tuaj yeem tshwm sim khaus tawv nqaij, pigmentation, desquamation, lipid sclerosis thiab txawm tias mob qog. Cov txheej txheem kho mob ntawm cov leeg ntshav qis ntawm ceg suav nrog kev hloov pauv txoj kev ua neej, kev kho mob nrog tshuaj, kev kho mob nrog lub raj xa dej siab, kev khi siab thiab kev tshem cov leeg ntshav saphenous, sclerotherapy thiab lwm yam. Kev phais mob ib txwm muaj tau ua ntau tshaj 100 xyoo.
Tam sim no, kev phais rau cov leeg ntshav qis ntawm ceg feem ntau yog ua kom tsis txhob mob heev, xws li kev siv laser endovenous ablation, radiofrequency ablation, microwave therapy, thiab lwm yam. Cov kev ligation thiab dissection ntawm cov leeg ntshav loj saphenous ib txwm muaj tsawg zuj zus. Nrog rau kev txhim kho ntawm cov txheej txheem minimally invasive thiab kev sib sau ua ke ntawm cov kws kho mob cov kev paub, cov txheej txheem minimally invasive yuav pab tau ntau tus neeg mob uas muaj cov leeg ntshav qis ntawm ceg thiab txawm tias hloov kev phais ib txwm muaj.
Cov lus qhia ntawm American Society for Vascular Surgery thiab American Venous Forum rau Kev Kho Mob Varicose Veins ntawm Lower Extremity thiab Chronic Venous Diseases suav nrog endovenous laser ablation (ELVA) thiab kev siv hluav taws xob ntau zaus (RFA) raws li cov lus pom zoo ntawm Pawg IB. Cov kev tshawb fawb tau qhia tias1470nm laserNrog cov fiber radial muaj tsawg dua qhov teeb meem thiab perforation piv rau kev ablation ib txwm lossis kev phais laser. Nws yog ib txoj hauv kev zoo rau kev kho cov leeg ntshav ntawm qhov qis qis thiab yog ib qho ntawm cov txheej txheem zoo tshaj plaws rau kev phais ib-theem intraoperative perforation. Piv nrog rau cov laser taw tes, lub nplhaib laser tso zis fiber tuaj yeem ua rau lub zog laser faib sib npaug ntawm 360 ° cov hlab ntsha phab ntsa, lub zog siv qis dua, tus nqi perforation txo qis, thiab tsis muaj carbonization ntawm cov hlab ntsha phab ntsa. Tus nqi nqus dej thiab hemoglobin nrog 1470nm wavelength yog siab dua li ntawm lub laser ib txwm muaj, thiab lub zog ncaj qha ua rau ntawm cov hlab ntsha phab ntsa, uas tuaj yeem kaw cov hlab ntsha tag nrho thiab sib npaug. Zuag qhia tag nrho, 1470nm laser nrog radial fiber kho rau cov leeg ntshav qis qis muaj qhov zoo tseem ceeb:
1) Kaw sai thiab muaj txiaj ntsig zoo;
2) Lub cev tuab dua li kev rho tawm hluav taws xob tuaj yeem ua tau;
3) Qhov kawg ua haujlwm ntawm cov radial fiber tsis ncaj qha kov cov phab ntsa vascular, thiab qhov chaw radial annular exerts nws lub peev xwm sib npaug ntawm cov phab ntsa vascular yam tsis ua rau carbonization.
4) Pheej yig dua li lwm cov khoom siv kaw thermal.
Nws yog ib qho tsim nyog sau tseg tias TRIANGELASER1470nm diode laser muaj ib qho yooj yim thiab compact tsim, Lub tshiab hloov kho cua sov dissipation thiab tub yees system zoo heev txhim kho lub zog hloov pauv ntawm lub laser thiab ua kom qhov kub ua haujlwm ruaj khov. Ua ke nrog lubcov xov hluav taws xob radialnrog 360 ° emitting lub teeb, lub zog laser raug siv ncaj qha rau ntawm phab ntsa cov hlab ntsha. Ecchymosis thiab mob thiab lwm yam kev phiv tau txo qis ntau heev, zoo dua rau kev phais mob tsawg kawg nkaus.
Lub sijhawm tshaj tawm: Lub Yim Hli-10-2023