局麻Veno Merse手术减少大隐静脉术中损伤  

The reduction of injury to venous intima of great saphenous vein by Veno Merse operation

作　　者：陶然[1] 周大臣[1] 孔令尚[1] 崔笑[1] 秦金保[2] 万圣云[1] Tao Ran;Zhou Dachen;Kong Lingshang(Dept of General Surgery,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601)

机构地区：[1]安徽医科大学第二附属医院普外科,合肥230601 [2]上海交通大学医学院附属第九人民医院血管外科,上海200011

出　　处：《安徽医科大学学报》2021年第11期1838-1842,共5页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号81971758)。

摘　　要：前瞻性分析局麻Veno Merse手术、传统抽剥术和大隐静脉激光腔内闭合术治疗大隐静脉曲张的效果。与传统抽剥术和EVLT治疗相比,Veno Merse术日疼痛评分、术日及出院自理能力、术后切口数、术后第1天D-二聚体、术后皮肤并发症、隐神经损伤、术后住院时间及费用等术后指标差异有统计学意义(P<0.05),且静脉内膜损伤程度低。局麻Veno Merse手术不仅创伤小、疼痛轻、术后并发症少,而且对静脉内膜损伤小,易于开展。The effects of Veno Merse operation,traditional stripping and EVLT under local anesthesia in the treatments of varicose great saphenous vein were analyzed prospectively.Compared with the other two groups,there were significant differences in veno Merse postoperative pain score,postoperative and discharge self-care ability,postoperative incision number,D-dimer on the first day after operation,postoperative skin complications,saphenous nerve injury,postoperative hospital stay and cost(P<0.05),and the degree of venous intimal injury was low.Veno Merse operation under local anesthesia has not only less trauma,less pain,less postoperative complications but also less damage to venous intima,which is easy to carry out.

关 键 词：Veno Merse 大隐静脉曲张 自体大隐静脉移植 

分 类 号：R654.4[医药卫生—外科学]