摘要
目的评估原发性大隐静脉曲张的最佳手术时机。方法将2013年6月1日至2014年12月31日间我院血管外科收治且符合纳入标准的原发性大隐静脉曲张C2~C4级患者分为单纯静脉曲张组（C2级,n=48）和软组织并发症组（C3~C4级,n=126）,2组患者均接受大隐静脉高位结扎加曲张静脉点式剥脱术,评估指标：手术相关指标、住院费用、术后患者生活质量改善情况、术后复发率。结果所有患者手术均成功。单纯静脉曲张组的平均手术时间、手术切口数目及住院费用均明显少于软组织并发症组（P〈0.05）,单纯静脉曲张组的术后近期总并发症发生率及总并发症发生率均明显低于软组织并发症组（P〈0.05）,单纯静脉曲张组患者术后3个月时的AVVQ评分明显低于软组织并发症组（P〈0.05）,2组患者术后3个月时的复发率比较差异无统计学意义（P〉0.05）。结论早期原发性大隐静脉曲张患者接受手术治疗的获益情况及卫生经济学效应均优于中晚期患者,可推荐患者早期接受手术治疗。
Objective To evaluate optimal surgical timing of high ligation and ambulatory phlebectomy in treatment of primary great saphenous varicose vein. Methods The patients who met the inclusion criteria were divided into simple varicose vein（C2） group and soft tissue complications（C3-C4） group. All the patients were received high ligation and ambulatory phlebectomy. The surgery-related indexes, hospital costs, improvement of quality of life, postoperative recurrence rate were observed. Results All the operations were successful. The operative time, the number of operative incision, and the hospital costs in the C2 group were significantly less than those in the C3-C4 group（P〈0.05）. The total postoperative complications rate in the C2 group was significantly lower than that in the C3-C4 group（P〈0.05）. The postoperative AVVQ score on month 3 in the C2 group was significantly lower than that in the C3-C4 group（P〈0.05）. The postoperative recurrence rate on month 3 had no statistical significance between these two groups（P〈0.05）. Conclusions Early stage（C2） is the optimal surgical timing of primary great saphenous varicose vein, benefits of surgery and health economics in early stage are significantly better than those in mid-advanced stage（C3-C4）. It is suggested that surgery should be underwent at early stage in patients with primary great saphenous varicose vein.
出处
《中国普外基础与临床杂志》
CAS
2016年第2期198-200,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
原发性大隐静脉曲张
高位结扎加点式剥脱术
手术时机
Primary great saphenous varicose vein
High ligation and ambulatory phlebectomy
Surgical timing
