CAJ | 학술논문

选取2007年2月至2012年1月就诊的单纯性大隐静脉曲张患者215例,根据手术方法不同分为A组(采用传统高位结扎加分段剥脱术,75例)、B组(采用静脉腔内激光术,69例)、C组(采用微创透光旋切术,71例);比较各组患者手术一般情况及术后并发症发生情况.结果显示,B、C两组单侧手术时间、手术出血量、住院时间均显著低于A组(均P＜0.05);A、B两组住院费用显著低于C组(均P＜0.05);A、B两组皮下硬结发生率显著高于C组,且差异有统计学意义(P＜0.05);A组皮下淤血发生率显著高于B、C两组(P＜0.05).随访2年后,A、B两组复发率均显著高于C组(x2分别为8.592、5.672,P值分别为0.003、0.016).提示,三种手术方法治疗大隐静脉曲张具有各自的特点,医师在治疗时应根据患者的病情、意愿及手术方法的特点,选择适宜的手术方法.
선취2007년2월지2012년1월취진적단순성대은정맥곡장환자215례,근거수술방법불동분위A조(채용전통고위결찰가분단박탈술,75례)、B조(채용정맥강내격광술,69례)、C조(채용미창투광선절술,71례);비교각조환자수술일반정황급술후병발증발생정황.결과현시,B、C량조단측수술시간、수술출혈량、주원시간균현저저우A조(균P＜0.05);A、B량조주원비용현저저우C조(균P＜0.05);A、B량조피하경결발생솔현저고우C조,차차이유통계학의의(P＜0.05);A조피하어혈발생솔현저고우B、C량조(P＜0.05).수방2년후,A、B량조복발솔균현저고우C조(x2분별위8.592、5.672,P치분별위0.003、0.016).제시,삼충수술방법치료대은정맥곡장구유각자적특점,의사재치료시응근거환자적병정、의원급수술방법적특점,선택괄의적수술방법.
Total 215 patients with simple varicosis of great saphenous vein underweni surgical treatment in our hospital from February 2007 to January 2012,including 75 cases receiving traditional high ligation segmentation stripping operation (group A),69 cases receiving endovenous laser light therapy (group B),and 71 receiving minimally invasive translucent atherectomy (group C).The efficacy and postoperative complications were compared among 3 groups.The operation time,intraoperational bleeding and length of hospitalization in groups B and C were significantly less than those in group A (P ＜ 0.05).The hospitalization cost of groups A and B was significantly lower than that of group C (P ＜ 0.05).The incidence of subcutaneous induration in groups A and B was significantly higher than that of group C (P ＜ 0.05).The incidence of subcutaneous congestion in group A was significantly higher than that in groups B and C (P ＜0.05).The recurrence rate during 2-years of follow-up in groups A and B was higher than that in group C (x2 =8.592,5.672,P =0.003,0.016).Three surgical modalities in treatment of great saphenons varicose veins have advantage and disadvantages,the appropriate methods should be chosen based on the characteristics of procedures and the condition and intention of patients.