中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
32期
7-9
,共3页
静脉曲张%激光%高位结扎
靜脈麯張%激光%高位結扎
정맥곡장%격광%고위결찰
Varicose veins%Lasers%High ligation
目的 探讨高位结扎联合腔内激光治疗与传统手术治疗大隐静脉曲张的临床效果.方法 156例大隐静脉曲张患者应用随机数字表法分为观察组(高位结扎联合腔内激光治疗)和对照组(传统手术治疗),每组78例,比较两组术后恢复情况及并发症.结果 观察组手术时间、术中出血量及术后患肢血肿发生率均明显低于对照组[(42±5)min比(64±8)min、(30±8)ml比(50±5)ml、5.13％(4/78)比11.54％(9/78),P＜0.05],两组症状改善率和隐神经损伤发生率比较差异无统计学意义(P＞0.05).两组患者术后随访1年均无患肢深静脉血栓形成和大隐静脉再通.结论 高位结扎联合腔内激光治疗大隐静脉曲张与传统手术治疗临床疗效相当,但其手术时间短、术中出血少、术后并发症少.
目的 探討高位結扎聯閤腔內激光治療與傳統手術治療大隱靜脈麯張的臨床效果.方法 156例大隱靜脈麯張患者應用隨機數字錶法分為觀察組(高位結扎聯閤腔內激光治療)和對照組(傳統手術治療),每組78例,比較兩組術後恢複情況及併髮癥.結果 觀察組手術時間、術中齣血量及術後患肢血腫髮生率均明顯低于對照組[(42±5)min比(64±8)min、(30±8)ml比(50±5)ml、5.13％(4/78)比11.54％(9/78),P＜0.05],兩組癥狀改善率和隱神經損傷髮生率比較差異無統計學意義(P＞0.05).兩組患者術後隨訪1年均無患肢深靜脈血栓形成和大隱靜脈再通.結論 高位結扎聯閤腔內激光治療大隱靜脈麯張與傳統手術治療臨床療效相噹,但其手術時間短、術中齣血少、術後併髮癥少.
목적 탐토고위결찰연합강내격광치료여전통수술치료대은정맥곡장적림상효과.방법 156례대은정맥곡장환자응용수궤수자표법분위관찰조(고위결찰연합강내격광치료)화대조조(전통수술치료),매조78례,비교량조술후회복정황급병발증.결과 관찰조수술시간、술중출혈량급술후환지혈종발생솔균명현저우대조조[(42±5)min비(64±8)min、(30±8)ml비(50±5)ml、5.13％(4/78)비11.54％(9/78),P＜0.05],량조증상개선솔화은신경손상발생솔비교차이무통계학의의(P＞0.05).량조환자술후수방1년균무환지심정맥혈전형성화대은정맥재통.결론 고위결찰연합강내격광치료대은정맥곡장여전통수술치료림상료효상당,단기수술시간단、술중출혈소、술후병발증소.
Objective To investigate the efficacy of endovenous laser combined with high ligation and traditional operation in treatment of great saphenous vein varicose.Methods One hundred and fifty-six cases of great saphenous vein varicose were divided into endovenous laser combined with high ligation(observation group,78 cases)and traditional operation(control group,78 cases)by table of random digits.The incidence of postoperative recovery and complications between two groups were compared.Result The operation time,amount of bleeding in operation,incidence of affected limb hematoma in observation group were significantly lower than those in control group[(42±5)min vs.(64±8)min,(30±8)ml vs.(50±5)ml,5.13％(4/78)vs.11.54％(9/78),P＜0.05].There was no significant difference between two groups of the postoperative recovery incidence and saphenous nerve injury incidence(P＞0.05).There was no affected limb deep venous thrombosis and great saphenous vein recanalization 1 year after operation.Conclusion Compared with the traditional operation,endovenous laser combined with high ligation has the same clinical efficacy,but less operation time,less amount of bleeding in operation,and less complication.
