摘要
目的探讨治疗下肢静脉曲张患者的有效术式。方法 135例下肢静脉曲张患者按照治疗方法被分为两组:73例接受泡沫硬化剂疗法联合大隐静脉高位结扎术的患者被定义为观察组,62例接受大隐静脉高位结扎加剥脱术的患者被定义为对照组。结果(1)观察组手术时间[(31.5±4.2)min vs(95.7±17.9)min]、术中出血量[(27.4±5.7)mL vs(75.2±10.6)mL]、术后VAS疼痛评分[(2.1±0.3)分vs(4.7±0.7)分]、术后下床活动时间[(1.1±0.3)d vs(2.7±0.5)d]、住院总时间[(2.5±0.4)d vs(6.7±1.3)d]显著低于对照组(P<0.05)。(2)两组患者术后并发症发生率相比差异无统计学意义(6.85%vs 8.06%,P>0.05)。结论泡沫硬化剂联合大隐静脉高位结扎治疗下肢静脉曲张具有操作简便、创伤小、痛感强、恢复快等优点,值得临床应用与推广。
Objective To explore an effective operation for treatment for varicose vein of lower extremities. Methods According to the treatment methods that 135 patients with varices of lower extremity were divided into two groups： 73 Cases were treated by foam sclerotherapy combined with high ligation of the great saphenous vein that was defined as observation group, high ligation was accepted by 62 patients that was defined as control group. Results （1）The operating time was（31.5± 4.2）min vs （95.7 ±17.9）min,intraoperative blood loss was （27.4 ±5.7）ml vs （75.2 ±10.6）ml,after operation VAS pain score was （2.1 ±0.3）score vs （4.7 ±0.7）score,times of out-of-bed activity was （1.1 ±0.3）d vs （2.7 ±0.5）dand total time hospitalization was （2.5 ±0.4）d vs （6.7 ±1.3）d in observation group were lower than those of control group（P 〈 0.05）.（2）The rate of post-operative complications was not different between the two groups（6.85% vs 8.06%, P 〉 0.05 ）. Conclusion Foam sclerosing combined with high ligation of the great saphenous vein in the treatment of lower extremity varicosis has the following advantages：simple operation,little injury ,little pain sufferings and a quick recovery,and it deserves application and popularization.
出处
《中国医药科学》
2013年第19期194-195,214,共3页
China Medicine And Pharmacy
关键词
泡沫硬化剂
大隐静脉
下肢静脉曲张
Foam sclerotherapy
Great saphenous vein
Varicose veins in lower extremities
