CAJ | 학술논문

目的观察大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡的临床效果.方法 36例下肢静脉性溃疡,随机分为三组,A组(电凝术结合高压氧组)12例,B组(高压氧组)12例,C组(电凝术组)12例.手术方法:行大隐静脉电凝术,交通静脉瓣膜功能不全,采用改良的Linton手术,Ⅲ°以上反流者行戴戒术.结果愈合时间:A组( 18.00±4.66)d,B组(28.20±6.42)d,C组(31.32±4.88)d.三组差异有统计学意义(F=8.93,P＜0.05)；A组与B组、C组差异均有统计学意义(q=4.62、7.81,均P＜0.01)；B组与C组差异有统计学意义(q =3.76,P＜0.05).36例中29例获随访,随访时间6～40个月,下肢静脉曲张及溃疡均无复发.结论大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡,溃疡愈合快,不易复发,是一种新型治疗方法,疗效肯定,值得推广.
목적 관찰대은정맥전응술결합고압양치료하지정맥성궤양적림상효과.방법 36례하지정맥성궤양,수궤분위삼조,A조(전응술결합고압양조)12례,B조(고압양조)12례,C조(전응술조)12례.수술방법:행대은정맥전응술,교통정맥판막공능불전,채용개량적Linton수술,Ⅲ°이상반류자행대계술.결과 유합시간:A조( 18.00±4.66)d,B조(28.20±6.42)d,C조(31.32±4.88)d.삼조차이유통계학의의(F=8.93,P＜0.05)；A조여B조、C조차이균유통계학의의(q=4.62、7.81,균P＜0.01)；B조여C조차이유통계학의의(q =3.76,P＜0.05).36례중29례획수방,수방시간6～40개월,하지정맥곡장급궤양균무복발.결론 대은정맥전응술결합고압양치료하지정맥성궤양,궤양유합쾌,불역복발,시일충신형치료방법,료효긍정,치득추엄.
Objective To observe the clinical effect of hyperbaric oxygen and electrocoagulation in the treatment of venous ulcers on legs.Methods 36 patients with venous ulcer on legs were divided into group A of 12 cases,group B of 12 cases and group C of 12 cases.Group A was treated by hyperbaric oxygen and electrocoagulation;group B was treated by hyperbaric oxygen;group C was treated by electrocoagulation.The operation method:every one had been performed electrocoagulation,and performed improved Linton operation if traffic vein valve had functional disorder,and performed wearing ring operation if vein reflux exceed Ⅲ °.Results The time of healing:group A was ( 18.00 ± 4.66) days,group B was (28.20 ± 6.42 ) days and group C was (31.32 ± 4.88 ) days.The time was significantly different between the two groups( A and B,P ＜0.01 ;A and C,P ＜0.01 ; B and C,P ＜ 0.05).29 cases had been investigated by 6 to 40 months,the venous ulcers on legs had no recurrence.Conclusion The treatment for venous ulcer on legs by hyperbaric oxygen and electrocoagulation was a new therapy which had advantage of healing quickly and less recurrence,It ought to be popularized.