腔内微波与传统手术治疗原发性下肢静脉曲张的临床对照研究  

Endovenous microwave therapy versus conventional operation for primary lower limb varicosities

作　　者：董瑞[1] 杜锡林[1] 张章[1] 李江斌[1] 赵磊[1] 樊东[1] 臧莉[1] 鲁建国[1] 

机构地区：[1]第四军医大学唐都医院普通外科,陕西西安710038

出　　处：《中国普通外科杂志》2013年第12期1600-1604,共5页China Journal of General Surgery

摘　　要：目的:比较腔内微波闭合术(EMA)与传统剥脱术治疗原发性下肢静脉曲张的疗效。方法:回顾性分析170例原发性下肢静脉曲张患者资料,其中110例行大隐静脉高位结扎加EMA治疗(EMA组),60例采用传统手术方法治疗(传统组),比较两组手术时间、术中出血量、术后下床活动时间、术后住院天数、手术并发症、术后疗效等指标。结果:EMA组手术时间、术中出血量、术后开始下床活动时间、术后住院天数、术后并发症(皮肤灼伤、皮下淤血、切口愈合不良、局部感觉异常)均低于传统手术治疗组,差异有统计学意义(均P<0.05)。术后深静脉血栓发生率、术后疗效(局部复发、色素沉着)两组患者比较差异无统计学意义(均P>0.05)。结论:高位结扎联合EMA治疗原发性大隐静脉曲张有效地结合了传统手术和微波治疗的优点,兼有微创、安全、有效的特点。Objective： To compare the efficacy of endovenous microwave ablation （EMA） and conventional stripping operation for primary lower limb varicosities. Methods： The clinical data of 170 patients with primary lower limb varicosities were retrospectively analyzed. Of the patients, 110 cases underwent high ligation of the great saphenous vein plus EMA treatment （EMA group）, while, the other 60 cases were subjected to the conventional procedure （conventional group）. The clinical variables that included operative time, intraoperative blood loss, time to ambulation, length of postoperative hospital sta）5 complications and clinical efficacy between the two groups were compared.Results： Compared with conventional group, the operative time, intraoperative blood loss, time to ambulation, length of postoperative hospital sta）5 and incidence of postoperative complications （skin bums, subcutaneous extravasation of blood, poor wound healing and localized paresthesia） in EMA group were reduced, and all differences had statistical significance （all P〈0.05）. There was no statistical difference with regard to the incidence of postoperative deep venous thrombosis and clinical efficacy （local recurrence, and pigmentation） between the two groups （all P〉O.OS）. Conclusion： High ligation plus EMA for primary lower limb varicosities effectively combines the advantages of both conventional operation and microwave therapy. It is minimally invasive, safe, and effective.

关 键 词：静脉曲张 外科学 下肢 腔内微波治疗 

分 类 号：R654.4[医药卫生—外科学]