CAJ | 학술논문

目的：探讨次高位大隐静脉结扎联合自制套管针电凝术治疗大隐静脉曲张的优越性。方法将单下肢大隐静脉曲张患者81例分成改良组(28例)和传统组(53例)，分别接受传统手术即大隐静脉高位结扎剥脱术和次高位大隐静脉结扎联合自制简易套管针电凝术，观察疗效。结果改良组的手术时间、出血量、切口数量、切口总长度均小于传统组；术后生活质量评分(CIVIQ)高于传统组，<0.05。结论次高位大隐静脉结扎联合自制简易套管针电凝术即剥除了大隐静脉主干，同时彻底治疗了属支静脉，简便易操作，创伤小恢复快，更加美观，体现了外科的微创发展方向。
목적：탐토차고위대은정맥결찰연합자제투관침전응술치료대은정맥곡장적우월성。방법장단하지대은정맥곡장환자81례분성개량조(28례)화전통조(53례)，분별접수전통수술즉대은정맥고위결찰박탈술화차고위대은정맥결찰연합자제간역투관침전응술，관찰료효。결과개량조적수술시간、출혈량、절구수량、절구총장도균소우전통조；술후생활질량평분(CIVIQ)고우전통조，<0.05。결론차고위대은정맥결찰연합자제간역투관침전응술즉박제료대은정맥주간，동시철저치료료속지정맥，간편역조작，창상소회복쾌，경가미관，체현료외과적미창발전방향。
Objective To investigate the time of great saphenous vein ligation combined with self-made high superiority trocar electrocoagulation of great saphenous veins.Methods Single lower limb varicosis of great saphenous vein in 81 casesdivided into modified group (28) and conventional group (53), respectively, to accept the traditional operation is of great saphenous vein high ligation and stripping of great saphenous vein and high ligation combined with self-madetrocar electrocoagulation, curative ef ect observation. Results The operationtime, bleeding volume, improved group number of the incision, incision lengthis less than the traditional group; quality of life score after operation (CIVIQ) is higher than that of the traditional group; <0.05. Conclusion High saphenous vein ligation combined with self-made trocar electrocoagulation is strippedsaphenous vein trunk, and a thorough treatment of the branches vein, simple and easy operation, smal trauma recovery, more beautiful, reflected thedevelopment direction of minimal y invasive surgery.