微波腔内治疗下肢静脉曲张的研究  

Study of endovenous microwave treatment for lower limb varicose veins

作　　者：梁民 蒙锦莹 杨林[2] 张澜 陈延会 祁光裕[3] 

机构地区：[1]陕西省咸阳市第一人民医院普外科,陕西咸阳712000 [2]复旦大学附属华山医院普外科,上海200040 [3]西安交通大学医学院第一医院普外科,陕西西安710061

出　　处：《外科理论与实践》2012年第1期68-71,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨微波腔内闭合大隐静脉治疗静脉曲张的临床疗效。方法:将陕西省咸阳市第一人民医院普外科收治的36例病人(40条肢体)行微波腔内闭合曲张静脉;50例(60条肢体)行传统剥脱术的病人为对照组。比较两组病人手术时间、术中出血量、住院时间及术后恢复情况。结果:两种治疗均可有效治疗下肢静脉曲张,但微波治疗组比对照组具有更短的手术时间、更少的术中出血量及更少的手术切口,且病人术后住院时间亦明显缩短,微波治疗具有更低的术后下肢瘀血发生率;且其下肢麻木发生率亦低于对照组组,但无统计学差异(P=0.13)。结论:微波腔内闭合术治疗下肢静脉曲张具有安全、操作简捷、创伤小、恢复快等优点。Objective To study the clinical outcome of endovenous microwave treatment（EMT） for the lower limbs varicose veins.Methods Thirty-six patients with varicose veins were treated by EMT（the EMT group） in the Department of General Surgery,First Hospital of Xianyang,Shaanxi Province,and the clinical data of 50 patients treated by the varicose veins stripping（the control group） were retrospectively compared.Results The two therapeutic regimens reached similar clinical outcomes.The operative time was shorter in the EMT group with less operation bleeding and less incisions.The length of hospital stay and the incidence rate of haemostasis was lower in the EMT group than in the control group;the limb numbness did not differ between the two groups.Conclusions EMT is a newly,safe,minimally invasion and easily operated technique in the treatment of varicose veins.

关 键 词：下肢静脉曲张 微波 腔内治疗 剥脱术 

分 类 号：R654.3[医药卫生—外科学]