两种微创手术方式治疗单纯性下肢静脉曲张的疗效比较  

Evaluation of two minimally invasive treatments for primary vein varicosis of lower extremity.

作　　者：殷恒讳[1] 王深明[1] 叶财盛[1] 叶洁莲[1] 黄雪玲[1] 

机构地区：[1]中山大学附属第一医院血管外科研究中心,广东广州510080

出　　处：《中国实用外科杂志》2006年第10期772-773,共2页Chinese Journal of Practical Surgery

摘　　要：目的比较经皮连续环形缝扎术(PCCS)和透光刨吸术(TIPP)对单纯性下肢静脉曲张的治疗效果。方法回顾性分析2004年1月至2005年12月中山大学附属第一医院由同一手术小组收治的138例(167条肢体)单纯性下肢静脉曲张病人资料,大隐静脉主干均行高位结扎+抽剥,小腿曲张静脉分别进行PCCS或TIPP手术。比较两组病人的手术时间、出血量、住院时间、并发症、手术前后静脉功能指标。结果两种手术方式术后均不留明显瘢痕,均能显著改善病人的症状,但二者在静脉功能改善程度上差异无显著性。TIPP组较PCCS组手术时间显著缩短,术后疼痛减轻,但术中出血量和住院费用增加且并发症较多。而PCCS组病人术后均有比较剧烈的疼痛,需镇痛处理。结论PCCS和TIPP都是单纯性下肢静脉曲张有效的微创治疗手段,可以根据病人的不同需要加以选择。Objective To evaluate the effects of two minimally invasive methods, percutaneous continuous circumsuture （PCCS） and transilluminated powered phlebectomy （TIPP） , in the treatment of primary vein varicosis of lower extremity. Methods Retrospectively analyzed data of 138 patients （ 167 limbs） with primary vein varieosis of the lower extremity who underwent PCCS or TIPP in the First Affiliated Mespital of Sun Yat-sen University by the same operation group from January 2004 to December 2005. Operation and hospitalization time, blood losing, complications, data of VPPG examination pre-and post-operative were compared. Results The agonies of the patients were alleviated in both the two groups and no visible scars were left three months after surgery. In the TIPP group, operation time was greatly shortened but the blood losing, economic burden and complications obviously increased comparing with the PCCS group. Most of the patients in the PCCS group suffered from intensive pain after operation. The improvements of vein ability reflected by VPPG examination presented no statistical difference between the two groups. Conclusion TIPP and PCCS are both effective minireally invasive methods in the treatment of primary vein varieosis of the lower extremity. Surgeons can choose either one according to the patient＇ s favorite.

关 键 词：静脉曲张 透光创吸术 经皮连续环形缝扎术 

分 类 号：R6[医药卫生—外科学]