下肢静脉曲张三种手术方法的随机前瞻性研究  

Randomized prospective study of three surgical methods for varicose veins

作　　者：潘俊峰[1] 周科[1] 张丹峰[1] 王耕[1] 

机构地区：[1]湖北省十堰市湖北医药学院附属太和医院血管外科,湖北十堰442000

出　　处：《中国当代医药》2012年第28期40-41,共2页China Modern Medicine

摘　　要：目的比较下肢静脉曲张三种不同手术方法的临床优缺点。方法将135例下肢静脉曲张的病例随机分为3组:传统手术组(A组)、腔内激光治疗组(B组)、激光结合泡沫硬化手术组(C组),对比分析3组的平均手术时间、住院时间及随访3个月后复发率。结果比较平均手术时间及住院时间,C组优于A、B两组,C组与A、B两组差异有统计学意义(P<0.01)。A、B、C3组的3个月后复发率经统计学处理三者相近(P>0.05)。结论在下肢静脉曲张三种不同手术方法中,3个月后复发率无显著性差异。但激光结合泡沫硬化手术的平均手术时间及住院时间较短,是一种较为实用的方法。Objective To compare the clinical advantages and disadvantages of three different operation methods of varicose veins. Methods One hundred and thirty-five cases of varicose veins were randomly divided into three groups： conventional surgery group （group A）, endovenous laser treatment group （group B）, laser combined with a hardening foam surgery group （group C）. Comtrasted and analyzed the average operation time, hospitalization time, and followed-up recurrence rate after three months of the three groups. Results The average operation time and hospitalization time was compared, the group C was superior to other two groups （group A, B）. There were significant differences in the group C and group A, B （P 〈 0.01）. The recurrence rate after three months in A, B, and C group were similar by statistical analyzed （P 〉 0.05）. Conclusion There is not significant difference in recurrence rate after three months of the three groups. But the average operation time, hospitalization time of the laser combined with a hardening foam surgery are shorter, and it is a more practical methods.

关 键 词：静脉曲张 外科 手术 前瞻性研究 

分 类 号：R543[医药卫生—心血管疾病]