泡沫硬化剂+大隐静脉高位结扎术联合激光治疗大隐静脉曲张的临床疗效  

Clinical efficacy of foam sclerosing agent+high ligation of great saphenous vein combined with laser treatment of great saphenous vein varicose

作　　者：陈小彬 范祖友 许磊 林鸿铭 钟健生 江榕 林晨 Chen Xiaobin;Fan Zuyou;Xu Lei;Lin Hongming;Zhong Jiansheng;Jiang Rong;Lin Chen(Department of General Surgery,900th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Fuzhou 350001,Fujian,China;Clinical Medical College,Fuzhou General Hospital,Fujian Medical University,Fuzhou 350001,Fujian,China;Department of General Surgery,Dongfang Hospital,Xiamen University,Fuzhou 350001,Fujian,China)

机构地区：[1]解放军联勤保障部队第九〇〇医院普通外科,福建福州350001 [2]福建医科大学福总临床医学院,福建福州350001 [3]厦门大学东方医院普通外科,福建福州350001

出　　处：《血管与腔内血管外科杂志》2023年第1期27-31,共5页Journal of Vascular and Endovascular Surgery

基　　金：第九〇〇医院院立项目(2020Z05);全军医学科技青年培育项目(13QNPY138)。

摘　　要：目的探讨泡沫硬化剂+大隐静脉高位结扎术及激光治疗大隐静脉曲张的临床疗效。方法收集2018年1月至2021年1月解放军联勤保障部队第九OO医院收治的123例大隐静脉曲张患者的临床资料,按照治疗方式的不同将其分为对照组(n=77,采用泡沫硬化剂+大隐静脉高位结扎分段剥脱术治疗)与观察组(n=46,采用泡沫硬化剂+大隐静脉高位结扎术联合激光治疗)。比较两组患者的手术相关指标,采用静脉临床严重程度评分(VCSS)评估两组患者治疗前后的静脉情况,观察并记录两组患者术后并发症发生情况。结果观察组患者手术时间、住院时间均短于对照组患者,术中出血量、术后24 h VCSS均低于对照组患者,住院费用高于对照组患者,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率为6.52%(3/46),略低于对照组患者的11.69%(9/77),但差异无统计学意义(P﹥0.05)。结论泡沫硬化剂+大隐静脉高位结扎术联合激光治疗大隐静脉曲张的疗效显著,创伤较小,恢复较快,术后并发症发生率较低,安全可行,值得临床推广。Objective To investigate the clinical efficacy of foam sclerosing agent+great saphenous vein ligation and laser treatment of great saphenous vein varicose.Method The clinical data of 123 patients with great saphenous vein varicose veins treated in the 900th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army from January 2018 to January 2021 were collected.They were divided into control group(n=77,treated with foam sclerosant+high ligation of great saphenous vein segmental stripping)and an observation group(n=46,treated with foam sclerosant+high ligation of great saphenous vein combined with laser therapy)according to different treatment methods.The surgical-related indicators of the two groups were compared.The vein clinical severity score(VCSS)was used to evaluate the vein condition before and after surgery in the two groups.The occurrence of postoperative complications in the two groups were observed and recorded.Result The observation group had shorter surgical time and hospital stay than the control group,the intraoperative bleeding and postoperative 24-hour VCSS were lower than those in the control group,the hospital costs of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.52%(3/46),slightly lower than 11.69%(9/77)in the control group,but the difference was not statistically significant(P>0.05).Conclusion It is effective to employ foam sclerosant+high ligation of great saphenous veins combined with laser therapy for saphenous varicose veins.And the therapy causes less trauma,and promote faster recovery,with a lower incidence of postoperative complications,which is safe and feasible and deserves the clinical promotion.

关 键 词：大隐静脉高位结扎术 激光治疗 泡沫硬化剂 

分 类 号：R543[医药卫生—心血管疾病]