中国血管外科杂志（电子版）
中國血管外科雜誌（電子版）
중국혈관외과잡지（전자판）
CHINESE JOURNAL OF VASCULAR SURGERY(ELECTRONIC VERSION)
2013年
3期
170-173
,共4页
陈千益%费哲为%陈大伟%欧敬民
陳韆益%費哲為%陳大偉%歐敬民
진천익%비철위%진대위%구경민
下肢静脉曲张%激光腔内闭合术%大隐静脉高位结扎剥脱术%疗效
下肢靜脈麯張%激光腔內閉閤術%大隱靜脈高位結扎剝脫術%療效
하지정맥곡장%격광강내폐합술%대은정맥고위결찰박탈술%료효
Varicose venous in lower extremity%Endovenous laser treatment%Great saphenous vein high ligation and stripping%Therapeutic effect
目的比较应用激光腔内闭合术（EVLT）联合高位结扎与大隐静脉高位结扎+剥脱术治疗下肢静脉曲张的临床效果。方法将2007年3月至2012年2月间我院收治的278例下肢静脉曲张患者（共342条肢体）分成EVLT联合高位结扎组（A组，286条肢体）和大隐静脉高位结扎+剥脱术组（B组，56条肢体）。比较两组的手术时间，术后48h疼痛视觉模拟评分（VAPS），术后首次下床时间，术后住院天数；术后第6个月比较手术前后CEAP分级、患者自身对手术效果及整体满意度评价。结果两组手术时间、住院天数比较差异无统计学意义（P>0.05），但A组术后48 h疼痛较轻、下床时间稍早（P<0.05）；术前和术后6个月两组的CEAP分级、手术效果评分比较，差异有统计学意义（P<0.05），组间差异则无统计学意义（P>0.05），但术后患者的整体评价A组优于B组（P<0.05）。结论 EVLT联合高位结扎术治疗具有与传统手术相似的效果，患者满意度高，值得临床推广。
目的比較應用激光腔內閉閤術（EVLT）聯閤高位結扎與大隱靜脈高位結扎+剝脫術治療下肢靜脈麯張的臨床效果。方法將2007年3月至2012年2月間我院收治的278例下肢靜脈麯張患者（共342條肢體）分成EVLT聯閤高位結扎組（A組，286條肢體）和大隱靜脈高位結扎+剝脫術組（B組，56條肢體）。比較兩組的手術時間，術後48h疼痛視覺模擬評分（VAPS），術後首次下床時間，術後住院天數；術後第6箇月比較手術前後CEAP分級、患者自身對手術效果及整體滿意度評價。結果兩組手術時間、住院天數比較差異無統計學意義（P>0.05），但A組術後48 h疼痛較輕、下床時間稍早（P<0.05）；術前和術後6箇月兩組的CEAP分級、手術效果評分比較，差異有統計學意義（P<0.05），組間差異則無統計學意義（P>0.05），但術後患者的整體評價A組優于B組（P<0.05）。結論 EVLT聯閤高位結扎術治療具有與傳統手術相似的效果，患者滿意度高，值得臨床推廣。
목적비교응용격광강내폐합술（EVLT）연합고위결찰여대은정맥고위결찰+박탈술치료하지정맥곡장적림상효과。방법장2007년3월지2012년2월간아원수치적278례하지정맥곡장환자（공342조지체）분성EVLT연합고위결찰조（A조，286조지체）화대은정맥고위결찰+박탈술조（B조，56조지체）。비교량조적수술시간，술후48h동통시각모의평분（VAPS），술후수차하상시간，술후주원천수；술후제6개월비교수술전후CEAP분급、환자자신대수술효과급정체만의도평개。결과량조수술시간、주원천수비교차이무통계학의의（P>0.05），단A조술후48 h동통교경、하상시간초조（P<0.05）；술전화술후6개월량조적CEAP분급、수술효과평분비교，차이유통계학의의（P<0.05），조간차이칙무통계학의의（P>0.05），단술후환자적정체평개A조우우B조（P<0.05）。결론 EVLT연합고위결찰술치료구유여전통수술상사적효과，환자만의도고，치득림상추엄。
Objective To compare the efficacy of varicose vein in lower extremity treated by great saphenous vein high ligation combined with endovenous laser treatment (EVLT) and great saphenous vein high ligation and stripping. Methods Two hundred and seventy-eight patients (342 limbs) with varicose vein in lower extremity treated in our hospital from March 2007 to February 2012 were divided into two groups. Group A(286 limbs) were treated by great saphenous vein EVLT combined with high ligation, while group B(56 limbs) were treated by great saphenous vein high ligation and stripping. Operative time, 48-hour postoperative pain visual analogue scale (VAPS) values, getting out of bed for the first time after surgery and postoperative average hospital stay were compared between the two groups. CEAP classifications were compared before operation and 6 months after operation. Scores were evaluated for the effect of surgery and self satisfactions by patients themselves between the two groups. Results There were no significant differences in operative time and average hospital stay between two groups (P>0.05). However, the pain at 48 h after surgery and the time of getting out of bed were less and earlier in group A than those in group B (P<0.05). The change of CEAP classification and the scores of the effect of the operation were significantly different before and after surgery in the two groups (P<0.05). There were no significant differences between the two groups (P>0.05). However, postoperative evaluation was better in group A than that in group B (P<0.05). Conclusion EVLT combined with high ligation for treatment of varicose vein in lower extremity has a similar efficacy with great saphenous vein high ligation and stripping. Moreover, it has high self satisfaction rate, which is worth for clinical application.
