股静脉带戒术治疗下肢静脉曲张患者的临床疗效  

Clinical Observation of Femoral Vein with Stagnation for Treatment of Varicose Veins of Lower Extremities

作　　者：李俊峰[1] 吴子恒 吴兵[1] LI Junfeng;WU Ziheng;WU Bing(Department of Cardiovascular Surgery,Jinzhou Central Hospital,Jinzhou 121000,China;Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州市中心医院心血管外科,辽宁锦州121000 [2]锦州医科大学,辽宁锦州121000

出　　处：《中国医药指南》2020年第22期66-67,共2页Guide of China Medicine

摘　　要：目的观察股静脉带戒术治疗下肢静脉曲张患者的效果。方法选取我院心血管外科于2015年1月至2017年12月收治的下肢静脉曲张患者120例,年龄31~73岁,其中60例采取静脉曲张分段剥脱术,作为对照组;60例在分段剥脱的基础上行股静脉戴戒术,作为研究组。两组患者在性别、年龄、体质量、病程等方面比较,差异值无统计学意义(P>0.05),具有可比性。所有患者症状、体征、超声检查结果均符合下肢静脉曲张诊断标准。结果研究组患者术后深静脉超声提示股静脉瓣膜反流<1.51 s,53.42%患者症状明显改善,43.16%患者症状消失,无静脉血栓发生。对照组患者术后深静脉超声提示股静脉瓣膜反流<2.83 s,48.22%患者症状明显改善,40.51%症状消失,2例(3.33%)术后深静脉血栓形成,行下腔静脉滤器置入,驱血取栓,患肢肿胀缓解,复查超声深静脉管腔通畅。研究组患者住院时间为(7.13±1.32)d,对照组患者住院时间为(10.85±1.54)d。研究组患者2年内复发率<5.00%,对照组患者2年内复发率为8.00%。两组相比较,差异具有统计学意义(P<0.05)。结论股总静脉带戒术是通过缩小静脉管径,使关闭不全的静脉瓣膜重新恢复解剖功能,减少或阻断静脉血逆向反流,从而达到治疗静脉曲张的目的并减少复发率。股静脉带戒术治疗下肢静脉曲张患者的效果优于传统手术方式。Objective To observe the effect of femoral vein with stenosis on the treatment of varicose veins of the lower extremities.Methods Select|120 cases of varicose veins of the lower extremities were treated in our Department of Cardiovascular Surgery from January 2015 to January 2017.The patients were aged 31-73 years,60 of them were treated with varicose vein stripping as control group;60 cases were Segmental exfoliation of the base ascending veins.The differences between the two groups in terms of gender,age,weight,and duration of disease were not statistically significant(P>0.05).Results In the study group,deep vein ultrasound showed postoperative valvular regurgitation<1.51 s,53.42%of patients showed significant improvement,43.16%of patients disappeared without venous thrombosis.In the control group,deep vein ultrasound showed a femoral valvular regurgitation<2.83 s,48.22%of patients had obvious improvement,40.51%of symptoms disappeared,2 cases(3.33%)had deep vein thrombosis after operation,and inferior vena cava filter was placed.The blood was taken for thrombectomy,the swelling of the affected limb was relieved,and the deep venous lumen of the ultrasound was reviewed.The hospitalization time of the study group was(7.13±1.32)days,and the hospitalization time of the control group was(10.85±1.54)days.The recurrence rate of the study group was less than 5.00%within 2 years,and the recurrence rate of the control group within 2 years was 8.00%.The difference between the two groups was statistically significant(P<0.05).Conclusion Common femoral vein abstinence is to reduce the diameter of the venous tube,restore the anatomical function of the incompletely closed venous valve,reduce or block the reverse flow of venous blood,so as to achieve the purpose of treating varicose veins and reduce the recurrence rate.The effect of femoral vein with stenosis on lower extremity varicose veins is superior to traditional surgical methods,and it is worthy of popularization and application.

关 键 词：静脉曲张 股静脉 静脉瓣膜 股静脉带戒术 

分 类 号：R543.6[医药卫生—心血管疾病]