泡沫硬化剂注射术与大隐静脉剥脱术的近期疗效对照研究  

Foam sclerotherapy in combination with sapheno-femoral ligation treatment for great saphenous veins

作　　者：杨轲[1] 杨高潮[2] 王雅[1] 马从乾[1] 

机构地区：[1]河南省南阳市中心医院血管外科,南阳473000 [2]山西医科大学第一附属医院普通外科,太原030001

出　　处：《中国血管外科杂志（电子版）》2011年第3期170-172,共3页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的评价泡沫硬化剂注射术联合高位结扎术治疗下肢大隐静脉曲张的近期临床效果。方法 55例(55条肢体)下肢大隐静脉曲张患者随机分为两组:传统大隐静脉剥脱术组(A组,23例);大隐静脉高位结扎联合泡沫硬化剂注射术组(B组,32例),比较两组手术前后CEAP分级及静脉临床严重程度评分(VCSS)的变化。结果 A、B两组手术前后CEAP分级及VCSS评分变化差异有统计学意义(P<0.05;P<0.01),A、B两组手术前后VCSS差值分别为(4.2±1.5)分和(4.1±1.4)分,两组比较差异无统计学意义(P>0.05)。结论泡沫硬化剂注射术与传统大隐静脉剥脱术近期疗效相当,CEAP分级及VCSS临床评分可用于其疗效评价。Objective To evaluate the therapeutic efficacy of foam sclerotherapy in combination with sapheno-femoral ligation treatment for great saphenous veins(GSV). Methods 55 patients(55 limbs) with GSV were assigned to group A(23 case) and group B(32 case). Patients in group A were treated with foam sclerotherapy in combination with sapheno-femoral ligation, patients in group B were treated with standard stripping of GSV. The changes of CEAP classification and venous clinical severity score (VCSS) were compared pre and post operation. Results The changes of CEAP classification and VCSS were statistically significant after operation (P < 0.05,P < 0.01), VCSS in group A decrease 4.2 ± 1.5 versus in group B 4.1 ± 1.4(P > 0.05). Conclusion Comparing standard stripping of GSV, foam sclerotherapy in combination with sapheno-femoral ligation treatment has similar short-term outcomes. CEAP classification and VCSS are useful tools for assessing outcome after operation.

关 键 词：大隐静脉曲张 泡沫硬化剂注射术 治疗效果 

分 类 号：R654.3[医药卫生—外科学]