中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2015年
4期
329-331,335
,共4页
大隐静脉曲张%微波凝固%聚桂醇
大隱靜脈麯張%微波凝固%聚桂醇
대은정맥곡장%미파응고%취계순
Great saphenous vein%Microwave%Lauromacrogol
目的：探讨小切口大隐静脉次高位结扎联合腔内微波凝固加聚桂醇局部注射治疗下肢静脉曲张的可行性及疗效。方法2012年10月～2013年10月我院血管外科60例70条患腿施行大隐静脉次高位结扎，大隐静脉主干插入微波腔内辐射器行腔内微波治疗，小腿局部侧支静脉血管迂曲处进行注射硬化剂治疗（观察组）；对照组（2011年8月～2012年9月）行传统大隐静脉高位结扎联合浅静脉剥脱术。比较2组患者手术时间、术中出血量、小切口数目、腹股沟处切口长度、术后并发症情况等。结果观察组手术时间（50．8±2．6）min，明显短于对照组（103．5±16．0）min（t＝－25．183，P＝0．000）；术中出血量（43．2±4．6）ml，明显少于对照组（107．5±35．2）ml（t＝－14．030，P＝0．000）；手术切口数（2．2±0．7）个，明显少于对照组（6．3±2．5）个（t＝－12．233，P＝0．000）；腹股沟处切口长度（2．3±0．3）cm，明显短于对照组（4．8±0．3）cm（t＝－17．697，P＝0．000）。术后并发症2组比较无显著性差异：局部皮肤麻木（观察组40例，对照组38例，χ2＝0．147，P＝0.702），皮下淤血（观察组4例，对照组9例，χ2＝2．157，P＝0．142）。结论小切口大隐静脉次高位结扎联合腔内微波凝固加聚桂醇局部注射治疗大隐静脉曲张具有微创、美观、恢复快、疗效好、并发症少、操作简捷等优点。
目的：探討小切口大隱靜脈次高位結扎聯閤腔內微波凝固加聚桂醇跼部註射治療下肢靜脈麯張的可行性及療效。方法2012年10月～2013年10月我院血管外科60例70條患腿施行大隱靜脈次高位結扎，大隱靜脈主榦插入微波腔內輻射器行腔內微波治療，小腿跼部側支靜脈血管迂麯處進行註射硬化劑治療（觀察組）；對照組（2011年8月～2012年9月）行傳統大隱靜脈高位結扎聯閤淺靜脈剝脫術。比較2組患者手術時間、術中齣血量、小切口數目、腹股溝處切口長度、術後併髮癥情況等。結果觀察組手術時間（50．8±2．6）min，明顯短于對照組（103．5±16．0）min（t＝－25．183，P＝0．000）；術中齣血量（43．2±4．6）ml，明顯少于對照組（107．5±35．2）ml（t＝－14．030，P＝0．000）；手術切口數（2．2±0．7）箇，明顯少于對照組（6．3±2．5）箇（t＝－12．233，P＝0．000）；腹股溝處切口長度（2．3±0．3）cm，明顯短于對照組（4．8±0．3）cm（t＝－17．697，P＝0．000）。術後併髮癥2組比較無顯著性差異：跼部皮膚痳木（觀察組40例，對照組38例，χ2＝0．147，P＝0.702），皮下淤血（觀察組4例，對照組9例，χ2＝2．157，P＝0．142）。結論小切口大隱靜脈次高位結扎聯閤腔內微波凝固加聚桂醇跼部註射治療大隱靜脈麯張具有微創、美觀、恢複快、療效好、併髮癥少、操作簡捷等優點。
목적：탐토소절구대은정맥차고위결찰연합강내미파응고가취계순국부주사치료하지정맥곡장적가행성급료효。방법2012년10월～2013년10월아원혈관외과60례70조환퇴시행대은정맥차고위결찰，대은정맥주간삽입미파강내복사기행강내미파치료，소퇴국부측지정맥혈관우곡처진행주사경화제치료（관찰조）；대조조（2011년8월～2012년9월）행전통대은정맥고위결찰연합천정맥박탈술。비교2조환자수술시간、술중출혈량、소절구수목、복고구처절구장도、술후병발증정황등。결과관찰조수술시간（50．8±2．6）min，명현단우대조조（103．5±16．0）min（t＝－25．183，P＝0．000）；술중출혈량（43．2±4．6）ml，명현소우대조조（107．5±35．2）ml（t＝－14．030，P＝0．000）；수술절구수（2．2±0．7）개，명현소우대조조（6．3±2．5）개（t＝－12．233，P＝0．000）；복고구처절구장도（2．3±0．3）cm，명현단우대조조（4．8±0．3）cm（t＝－17．697，P＝0．000）。술후병발증2조비교무현저성차이：국부피부마목（관찰조40례，대조조38례，χ2＝0．147，P＝0.702），피하어혈（관찰조4례，대조조9례，χ2＝2．157，P＝0．142）。결론소절구대은정맥차고위결찰연합강내미파응고가취계순국부주사치료대은정맥곡장구유미창、미관、회복쾌、료효호、병발증소、조작간첩등우점。
Objective To observe the feasibility and efficacy of small-incision high-ligation of great saphenous vein combined with endovascular microwave coagulation plus local injection of lauromacrogol for varicose veins of lower limbs . Methods From October 2012 to October 2013, there were 60 patients (70 legs) treated by high-ligation of the great saphenous vein , during which endovascular microwave coagulation was performed by using radiator and an additional injection of sclerotherapy at local tortuous vessels was carried out ( observation group ) .The control group ( between August 2011 and September 2012 ) underwent the traditional saphenous vein ligation plus superficial vein stripping surgery .The operation time , blood loss during operation , number of incisions , length of groin incision , and postoperative complications were compared between the two groups . Results As compared with the control group , the observation group had singnificantly shorter operative time , fewer blood loss , fewer surgical incisions , and shorter groin incision, respectively [(50.8 ±2.6) min vs.(103.5 ±16.0) min, t=-25.183, P=0.000;(43.2 ±4.6) ml vs.(107.5 ± 35.2) ml, t=-14.030, P=0.000;2.2 ±0.7 vs.6.3 ±2.5, t=-12.233, P=0.000;(2.3 ±0.3) cm vs.(4.8 ±0.3) cm, t=-17.697, P=0.000].There was no significant difference in complications rates between the two groups : local skin numbness occurred in 40 cases in the observation group and in 38 cases in the control group (χ2 =0.147, P =0.702 ) and subcutaneous congestion was noted in 4 cases in the observation group and in 9 cases in the control group (χ2 =2.157, P=0.142). Conclusion Small-incision high-ligation of the great saphenous vein combined with endovascular microwave coagulation plus local injection of lauromacrogol for varicose veins of lower limbs has advantages of minimal invasion , good cosmetic outcomes , quick recovery , high efficacy, fewer complications , and easy performance .
