使用掺钕钇钕石榴石（Nd: Yag）1064 nm 激光治疗下肢毛细血管扩张症，采用或不采用膨胀麻醉--TTL 技术。

Phlebology Pub Date : 2024-08-07 DOI:10.1177/02683555241273133

Julio Cesar Bajerski, Camila Biedler Giordani, Luiza Brum Borges, Juliana Bosso Taniguchi, Elias Arcenio Neto, Rodrigo Kikuchi, Jaber Nashat Saleh, Rafael Stevan Noel, Renan Camargo Puton, Mateus Picada Correa

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引用次数: 0

摘要

简介透皮激光是治疗静脉曲张的一种选择，但可能会带来疼痛。在本研究中，我们将介绍一种与透皮激光（TTL）相关的膨胀麻醉技术，以减轻治疗过程中的疼痛：方法：50 名患有双侧大腿毛细血管瘤的 CEAP C1 患者接受了透皮激光治疗，一侧使用膨胀麻醉，另一侧使用标准技术。疼痛通过视觉模拟量表进行评估。结果比较采用学生 t 检验。显著性以 p < .05 为标准：结果：未使用膨胀麻醉的激光治疗的 VAS 疼痛评分为 7.9，而使用麻醉的疼痛评分为 0.0，两者之间存在显著的统计学差异：结论：膨胀麻醉和透皮激光（TTL）能够减轻毛细血管扩张和网状静脉激光治疗的疼痛。

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Treatment of lower limb telangiectasias with Nd: Yag 1064 nm laser with and without tumescent anesthesia - TTL technique.

Introduction: Transdermal laser is an option for varicous veins treatment, yet it may be painful. In this study, we will present a technique for performing tumescent anesthesia associated to transdermal laser (TTL) to reduce pain during treatment.

Objective: The study compares pain during treatment of telangiectasias in lower limb with and without tumescent anesthesia to offer a less painful procedure.

Methods: 50 CEAP C1 patients with bilateral telangiectasias on thighs underwent transdermal laser treatment, using tumescent anesthesia on one side and standard technique on the other. Pain was assessed via the Visual Analogue Scale. The outcomes were compared with Student's t-test. Significance was set at p < .05.

Results: Laser treatment without tumescent anesthesia resulted in a VAS pain score of 7.9, versus 0.0 with anesthesia, showing a significant statistical difference.

Conclusion: Tumescent anesthesia and transdermal laser (TTL) is capable of reducing pain in laser treatment of telangiectasias and reticular veins.

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Phlebology

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