CAJ | 학술논문

目的观察泡沫硬化剂联合手术治疗下肢静脉曲张的临床疗效，探讨其可行性和安全性。方法回顾性分析我科2014年5月~8月经手术治疗的205例(330肢)下肢静脉曲张患者，其中于2014年5月~6月收治的105例(170肢)的患者为A组行手术治疗，2014年7月~8月收治的100例(160肢)的患者为B组，行泡沫硬化剂联合手术治疗。根据患者术后下肢疼痛和皮肤感觉异常(麻木)的阳性率对其可行性和安全性进行评价。结果205例患者均成功施行手术，两组治愈率均为100%，B组下肢疼痛和麻木的阳性率均小于A组(<0.05)。结论泡沫硬化剂注射联合手术治疗下肢静脉曲张安全、有效，较单纯手术治疗减少了患者术后疼痛和麻木的发生。
목적관찰포말경화제연합수술치료하지정맥곡장적림상료효，탐토기가행성화안전성。방법회고성분석아과2014년5월~8월경수술치료적205례(330지)하지정맥곡장환자，기중우2014년5월~6월수치적105례(170지)적환자위A조행수술치료，2014년7월~8월수치적100례(160지)적환자위B조，행포말경화제연합수술치료。근거환자술후하지동통화피부감각이상(마목)적양성솔대기가행성화안전성진행평개。결과205례환자균성공시행수술，량조치유솔균위100%，B조하지동통화마목적양성솔균소우A조(<0.05)。결론포말경화제주사연합수술치료하지정맥곡장안전、유효，교단순수술치료감소료환자술후동통화마목적발생。
Objective This study is determined to observe the clinical curative ef ect of the new application of the combination of foam sclerotherapy with surgery for the treatment of lower extremities varicose veins, and discuss the practicability and safety.Methods 205 cases of lower extremities varicose veins were analysed retrospectively. 105 cases (330 limbs) treated by simple surgery from 2014 May to 2014 August were defined as Group A, while 100 cases (160 limbs ) treated by the combination of foam sclerotherapy with surgery from 2014 June to 2014 August were defined as Group B. The practicability and safety of each group were assessed through postoperational pain and abnormal sense of af ected extremities.Results Al the 205 cases were performed operations successful y. The curative ratio of both groups is 100%. The positive rates of postoperational pain and abnormal sense of af ected extremities of group B are less than group A ( <0.05).Conclusion Foam sclerotherapy combination with surgery for the treatment of lower extremities varicose veins was more safe and ef ective than simple traditional surgery, and obviously reduces the occur ence of postoperational pain and abnormal sense.