【摘要】 目的对比分析经静脉刨吸术与点式抽剥术治疗大隐静脉曲张患者的临床疗效及并发症。方法选取确诊并接受手术治疗的大隐静脉曲张患者88例,根据治疗方法的不同进行分组,试验组44例患者给予静脉刨吸术进行治疗,对照组44例患者给予点式抽剥术进行治疗。观察2组患者的下肢疼痛天数、切口数量、肿胀时间以及住院时间等,并对术后并发症及复发率进行观察。结果试验组患者下肢疼痛时间(3.1±1.0)d、住院时间(7.8±2.0)d与对照组的下肢疼痛时间(2.9±0.9)d、住院时间(8.0±2.1)d相比差异无统计学意义(t=1.784、1.713,P=0.084、0.093)。试验组患者切口数量(4.0±1.0)处、肿胀时间(4.3±1.5)d明显优于对照组的(9.0±2.3)处、(11.3±2.8)d,差异具有统计学意义(t=2.796、2.814,P=0.008、0.007)。试验组患者出现踝关节麻木(36.36%)、血肿形成(38.64%)、曲张静脉团块处麻木及刺痛(34.09%)明显高于对照组患者的(13.64%)、(13.64%)、(11.36%),差异有统计学意义(x~2=12.121、12.684、12.470,P=0.004、0.003、0.004)。术后1年随访发现,试验组患者复发率(2.27%)明显低于对照组(27.27%),具有统计学意义(x~2=11.375,P=0.004)结论大隐静脉曲张患者经静脉刨吸术治疗的效果明显优于点式抽剥术,术后愈合较快,复发率较低,但静脉刨吸术术后并发症较点式抽剥术高。更多还原

【Abstract】 Objective To compare the therapeutic effect and complications of vein phlebectomy and stripping operation for treatment of varicose of great saphenous.Methods 88 patients with varicosis of great saphenous,according to the different methods of treatment they were divided into the experimental group with 44 patients and were given intravenous phlebectomy,44 cases of the control group patients were given stripping operation.Days of lower extremity pain,swelling time,incision time and the length of hospital stay,and postoperative complications and recurrence rate were observed in the two groups.Results The experimental group patients’ lower extremity pain time was(3.1 ± 1.0) d,the time of hospitalization was(7.8±2.0) d and control group’s time of lower limb pain was(2.9 ± 0.9) d,the time of hospitalization was(8.0 ± 2.1)d,no significant differences were found between the two groups(t = 1.784,t = 1.713,P =0.084,P =0.093).The number of incision of the experimental group was(4.0 ± 1.0),swelling time was(4.3 ±1.5) d,which was better than that of the control group’s(9.0±2.3) and(11.3 ±2.8) d,with significant differences(t =2.796,t =2.814,P =0.008,P =0.007).In the experimental group,the ankle numbness(36.36%),hematoma formation(38.64%),mass of numbness and tingling at varicose vein(34.09%) was significantly higher than that of the control group patients’ 13.64%,13.64%,and 11.36%,the difference was statistically significant(χ~2 = 12.121,χ~2 = 12.684,χ~2 = 12.470,P =0.004,P =0.003,P = 0.004).1 years follow-up after operation,the recurrence rate in the experimental group(2.27%) was significantly lower than the control group(27.27%),with statistical significance(χ~2 =11.375,P =0.004).Conclusion Saphenous vein varices with transvenous phlebectomy for treatment is better than that of the stripping operation with postoperative healing faster and low recurrence rate,but the vein phlebectomy postoperative complication is higher than stripping operation.更多还原