次高位结扎联合浅静脉环形缝扎加聚桂醇注射治疗大隐静脉曲张的临床研究  

Clinical study of sub-high ligation combined with circular suture ligation of superficial vein and local injection of lauromacrogol in the treatment of great saphenous vein varicosity

作　　者：仲海燕 王芳 邵为 黄超 梁彦 ZHONG Hai-yan;WANG Fang;SHAO Wei;HUANG Chao;LIANG Yan(Department of General Surgery,Zhenjiang Medical District,General Hospital of Eastern Theater Command,PLA,Zhenjiang 212001,Jiangsu,China)

机构地区：[1]东部战区总医院镇江医疗区普外科,镇江212001

出　　处：《东南国防医药》2022年第3期267-270,共4页Military Medical Journal of Southeast China

摘　　要：目的探讨大隐静脉次高位结扎联合经皮浅静脉环形缝扎加聚桂醇局部注射的手术疗效。方法回顾性分析东部战区总医院镇江医疗区2017年10月-2020年10月间收治的符合C3~C4A标准的大隐静脉曲张110例患者的临床资料,按手术方式不同分为2组,联合组55例采用小切口大隐静脉次高位结扎联合经皮浅静脉环形缝扎加聚桂醇局部注射的治疗方法,对照组55例采用传统手术大隐静脉高位结扎剥脱治疗。比较2组患者在手术时间、切口总长度、术中出血量、术后并发症发生率上的差异。结果联合组手术时间(54.69±2.95)min、切口总长度(4.95±0.57)cm、术中出血量(15.08±2.57)mL,术后并发症:皮下瘀血发生率3.33%、患肢疼痛1.67%、局部皮肤麻木3.33%;对照组手术时间(104.40±9.04)min、切口总长度(12.45±1.34)cm、术中出血量(98.26±12.16)mL,术后并发症:皮下瘀血发生率14.52%、患肢疼痛14.52%、局部皮肤麻木16.13%。联合组在手术时间、切口数量、切口总长度、术中出血量及术后并发症发生率等方面均优于对照组,2组间差异具有统计学意义(P<0.05)。结论相较于传统静脉高位结扎剥脱的方法,小切口大隐静脉次高位结扎联合经皮浅静脉环形缝扎加聚桂醇局部注射治疗下肢大隐静脉曲张具有安全有效、手术损伤小、并发症少、微创美观的优点;该方法近期疗效稳定、住院费用低、无需特殊器材,易在基层医院推广。Objective To investigate the surgical effect of sub-high ligation combined with circular suture ligation of superficial vein and local injection of lauromacrogol in the treatment of great saphenous vein varicosity.Methods A total of 110 patients with varicose veins of the great saphenous vein who met the C3-C4A criteria in the Zhenjiang Medical District of the Eastern Theater General Hospital between October 2017 and October 2020 were prospectively studied.They were divided into 2 groups according to different surgical methods.The combined therapy group received 55 cases of sub-high ligation combined with circular suture ligation of superficial vein and local injection of lauromacrogol in the treatment of great saphenous vein varicosity.The control group 55 cases received traditional surgery high vein ligation and stripping treatment.The differences in operation time,number of incisions,total length of incisions,intraoperative blood loss,and incidence of postoperative complications were compared between the two groups.Results In the combined therapy group,the operation time was(54.69±2.95)min,the total incision length was(4.95±0.57)cm,the intraoperative blood loss was(15.08±2.57)mL,the incidence of postoperative complications of subcutaneous blood stasis was 3.33%,the pain in the affected limb was 1.67%,Local skin numbness was 3.33%.In the control group,the operation time was(104.40±9.04)min,the total incision length was(12.45±1.34)cm,the intraoperative blood loss was(98.26±12.16)mL,and the incidence of postoperative complications of subcutaneous blood stasis was 14.52%.The pain in the affected limb was 14.52%,and the local skin numbness was 16.13%.The combined group was better than the control group(P<0.05).Conclusion Compared with the traditional method of high vein ligation and stripping,sub-high ligation combined with circular suture ligation of superficial vein and local injection of lauromacrogol in the treatment of great saphenous vein varicosity is safe and effective with less surgical damage and co

关 键 词：大隐静脉曲张 微创治疗 聚桂醇 传统手术治疗 

分 类 号：R654.4[医药卫生—外科学]