微创与传统治疗下肢静脉曲张的效果比较  

Effect comparison between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities

作　　者：庞凤舜[1] 黄烈城[1] 蔡北源[1] 陈经宝[1] 张晓波[1] 秦有[1] PANG Fengshun;HUANG Liecheng;CAI Beiyuan;CHEN Jingbao;ZHANG Xiaobo;QIN You(Department of Minimally Invasive Surgery,Guangdong Province Traditional Chinese Medical Hospital,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广东省中医院微创外科,广东广州510000

出　　处：《中国医药导报》2018年第26期103-105,112,共4页China Medical Herald

基　　金：广东省科技计划项目(2013B032500010)

摘　　要：目的探讨微创与传统手术治疗下肢静脉曲张的效果。方法选取2009年3月~2016年3月广东省中医院微创外科收治的189例下肢静脉曲张病例为研究对象,根据不同术式分为两组,其中微创手术治疗组(微创组)85例,传统手术治疗组(传统组)104例。比较两组患者的手术时间、术中出血量、术后住院时间、住院费用、术后并发症发生率。结果 189例患者手术均获得成功。微创组的手术时间、术后住院时间均短于传统组,术中出血量少于传统组,差异有统计学意义(P<0.05)。两组患者的住院费用、术后并发症发生率差异无统计学意义(P>0.05)。结论微创手术治疗下肢静脉曲张能缩短手术时间和住院时间,创伤小,安全性较高。Objective To compare the effect between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities. Methods A total of 189 patients with varicose veins of the lower extremities treated in Department of Minimally Invasive Surgery, Guangdong Province Traditional Chinese Medical Hospital from March 2009 to March 2016 were selected as study subjects and they were divided into two groups according to different operation methods. There were 85 cases in minimally invasive surgical treatment group （minimally invasive group） and 104 cases in traditional surgery treatment （traditional group）. Operation time, the amount of bleeding during operation, postoperative hospitalization time, the hospitalization cost and the incidence of complications were compared between the two groups. Results All of the 189 cases were operated successfully. The operation time and postoperative hospitalization time of the minimally invasive group were shorter than those of the traditional group, and the amount of bleeding during operation was less than that of the traditional group （P 〈 0.05）. There was no significant difference in the hospitalization cost and postoperative incidence of complications between the two groups （P 〉 0.05）. Conclusion Minimally invasive surgery in the treatment of varicose veins of the lower extremities can shorten operation and hospitalization time, and the surgical trauma is little and the security is high.

关 键 词：下肢静脉曲张 微创治疗 传统手术 疗效 

分 类 号：R654[医药卫生—外科学]