点式抽剥联合医用生物胶在下肢静脉曲张应用的疗效分析  

Effect of combination therapy of ambulatory phlebectomy and medical adhesive for lower extremity varicosis

作　　者：张国强[1] 曹传培[1] 汪峰[1] 

机构地区：[1]江西省九江学院附属医院普外科,九江332000

出　　处：《江西医药》2015年第7期612-614,共3页Jiangxi Medical Journal

基　　金：江西省卫生和计划生育委员会科技计划项目(20141635)

摘　　要：目的探讨点式抽剥联合医用生物胶在下肢静脉曲张中的治疗效果和安全性。方法选取2012年9月到2014年12月在九江学院附属医院入院就诊的下肢静脉曲张患者作为研究对象,所有患者给予大隐静脉高位结扎抽剥+曲张静脉点式抽剥术,实验组患者给予医用生物胶康派特黏合,对照组患者给予丝线缝合。同时观察两组患者的术中皮肤关闭时间、术后第1d切口疼痛程度及术后3个月后切口疤痕明显程度。结果实验组切口疼痛评分平均评分为(2.322±1.57)分,对照组平均评分为(4.543±1.38)分,两组具有统计学差异(P<0.05)。同时实验组平均瘢痕指数为3.4%,对照组为5.9%,两组也具有统计学差异(P<0.05)。结论点式抽剥联合医用生物胶在下肢静脉曲张中安全有效,同时效果明确,值得进一步推广和使用。Objective To investigate the therapeutic effect and safety of combination therapy of ambulatory phlebectomy and medical adhesive in lower extremity varicosis. Methods From Sep 2012 to Dec 2014,lower extremity varicosis patients in Jiujiang University hospital as the object of this study were treated with high ligation of great saphenous vein varicose vein stripping and ambulatory phlebectomy,the patients in the experimental group received medical adhesive COMPANT bonding,patients in control group was given silk suture. Intraoperative skin closure time,postoperative incision pain at first day and the operation incision scar marked degree after 3 months were observed in both groups. Results Incision pain average score in the experimental group was 2. 322±1.57,the control group was 4.543＆#177;1.38,with statistical difference between the two groups （P〈0.05）. Average scar index in the experimental group was 3.4%,but 5.9%in the control group,the two groups have statistical difference（P〈0.05）. Conclusion Com-bination therapy of ambulatory phlebectomy and medical adhesive is safe and effective in lower extremity varicosis ,and at the same time,the effect is clear,is worth spreading and using.

关 键 词：点式抽剥 下肢静脉曲张 医用生物胶 丝线缝合 

分 类 号：R654.4[医药卫生—外科学]