小切口大隐静脉高位结扎剥脱术联合经皮浅静脉连续环形缝扎术治疗下肢静脉曲张35例  

Treatment of 35 Cases of Varicose Veins of Lower Extremity with Small Incision Saphenous Vein High Ligation and Stripping Combined with Percutaneous Superficial Vein Continuous Annular Suture

作　　者：陆峰 LU Feng(Department of Surgery, Tongzhou District Hospital, Nantong, Jiangsu Province, 226300 China)

机构地区：[1]南通通州区中医院外科

出　　处：《系统医学》2019年第17期91-93,共3页Systems Medicine

摘　　要：目的探讨小切口大隐静脉高位结扎剥脱术联合经皮浅静脉连续环形缝扎术(PCCS)治疗大隐静脉曲张的疗效。方法对该院2016年3月—2018年3月期间收治的70例单纯性大隐静脉曲张患者随机分为采取小切口大隐静脉高位结扎剥脱术联合经皮浅静脉连续环形缝扎术的观察组(n=35)和采取大隐静脉高位结扎加分段剥脱术的对照组(n=35)。结果观察组平均手术时间为(33.4±8.2)min显著优于对照组(t=12.309,P=0.028);术中出血量(45.3±12.2)mL、住院时间(7.82±4.7)d也均优于对照组(P=0.006、0.009);两组患者在术后发热、皮下硬结、局部复张等情况上差异无统计学意义(P>0.05);但是观察组术后疼痛率为34.29%显著优于对照的74.29%(P=0.034)。观察组术后第1周、第2周VCSS评分为(3.3±1.2)分和(1.6±0.7)分也均优于对照组(P=0.037、0.042)。结论小切口大隐静脉高位结扎剥脱术联合经皮浅静脉连续环形缝扎术优于传统手术,效果显著,值得临床推广。Objective To investigate the efficacy of small incision saphenous vein high ligation and stripping combined with percutaneous superficial vein continuous annular suture (PCCS) in the treatment of saphenous vein varices. Meth-ods 70 patients with simple saphenous varices who were admitted to the hospital from March 2016 to March 2018 were randomly divided into small incision saphenous vein high ligation and stripping combined with percutaneous superficial vein continuous suture group (n=35) and control group with high saphenous vein high ligation plus segmental stripping (n=35). Results The average operation time of the observation group was (33.4±8.2) min, which was significantly better than the control group (t=12.309, P=0.028). The intraoperative blood loss (45.3±12.2)mL and the hospitalization time (7.82±4.7) d were also excellent in the control group (P=0.006、0.009);there was no significant difference in postopera-tive fever, subcutaneous induration, and local re-expansion between the two groups (P>0.05);however, the postoperative pain rate was observed in the observation group 34.29% was significantly better than the control of 74.29%(P=0.034). The VCSS scores of the observation group at the first week and the second week were (3.3±1.2)points and (1.6±0.7) points, which were also superior to the control group (P=0.037、0.042). Conclusion Small incision saphenous vein high ligation and stripping combined with percutaneous superficial vein continuous annular suture is superior to traditional surgery, and the effect is significant, which is worthy of clinical promotion.

关 键 词：小切口 大隐静脉 曲张 结扎 

分 类 号：R654.3[医药卫生—外科学]