CAJ | 학술논문

目的比较内窥镜下大隐静脉切除术及大隐静脉剥脱术联合透光旋切术治疗下肢静脉曲张的近期疗效.方法回顾性分析2012年1月至2013年6月收治的有明确大隐静脉反流的下肢静脉曲张的66例患者(77条肢体)的临床资料,其中32例(36条肢体)采用内窥镜(endoscoptic vein harvesting,EVH)治疗;34例(41条肢体)采用内翻剥脱术.2组均联合透光旋切术(transilluminated powered phlebectomy,TIPP)治疗.比较2种方法手术时间、手术切口、术中出血量、术后住院时间、术后并发症及术后1年时的复发率.结果手术时间EVH组较内翻剥脱组为长.术后住院时间EVH组(2.2±0.4)d与内翻剥脱组(3.4±0.6)d相比较短,二者差异有统计学意义(P＜0.01).EVH组较内翻剥脱术组手术切口少(P＜0.01);术后1年两组复发率相当(P＞0.05),隐神经损伤发生率,内翻剥脱组与EVH组差异无统计学意义(P＞0.05).结论 EVH治疗下肢静脉曲张创伤小,并发症少,近期效果良好.
목적 비교내규경하대은정맥절제술급대은정맥박탈술연합투광선절술치료하지정맥곡장적근기료효.방법 회고성분석2012년1월지2013년6월수치적유명학대은정맥반류적하지정맥곡장적66례환자(77조지체)적림상자료,기중32례(36조지체)채용내규경(endoscoptic vein harvesting,EVH)치료;34례(41조지체)채용내번박탈술.2조균연합투광선절술(transilluminated powered phlebectomy,TIPP)치료.비교2충방법수술시간、수술절구、술중출혈량、술후주원시간、술후병발증급술후1년시적복발솔.결과 수술시간EVH조교내번박탈조위장.술후주원시간EVH조(2.2±0.4)d여내번박탈조(3.4±0.6)d상비교단,이자차이유통계학의의(P＜0.01).EVH조교내번박탈술조수술절구소(P＜0.01);술후1년량조복발솔상당(P＞0.05),은신경손상발생솔,내번박탈조여EVH조차이무통계학의의(P＞0.05).결론 EVH치료하지정맥곡장창상소,병발증소,근기효과량호.
Objective To compare the clinical results of endoscopic greater saphenous vein venectomy combined with transilluminated powered phlebectomy (TIPP) and conventional stripping combined with TIPP for lower extremity varicosis.Methods We retrospectively analyzed data of 66 patients (77 limbs) with primary vein varicosis of the lower extremity who underwent EVH with TIPP (32 cases,36 limbs)or conventional stripping with TIPP (34 cases,41 limbs) in our department from Jan 2012 to Jun 2013.Operation time,number of the incision made,postoperative hospital stay,complications,and one-year recurrence rate were compared with each other.Results Operation time in EVH group was longer than in stripping group.Postoperative hospital stay was shorter in EVH and TIPP group (2.2 ± 0.4) d than that in stripping and TIPP group (3.4 ±0.6) d (P ＜0.001).Patients in stripping group also suffered from more incisions when compared with EVH group (P ＜ 0.001).There were no significant diffrences in one-year recurrece rate and incidental nervus saphenus iniury in the two groups (P ＞ 0.05).Conclusions EVH is less invasive,with smaller incison than conventional stripping for the treatment of lower extremity varicose vein and favorable short term prognosis.