腔内激光闭合术联合大隐静脉高位结扎、点式抽剥术治疗下肢静脉曲张患者的效果  

Effects of endovenous laser ablation combined with high ligation of great saphenous vein and point stripping in treatment of patients with lower extremity varicose veins

作　　者：张太锋 ZHANG Taifeng(Department of General Surgery of the 15th People’s Hospital of Zhengzhou,Zhengzhou 450041 Henan,China)

机构地区：[1]郑州市第十五人民医院普外科,河南郑州450041

出　　处：《中国民康医学》2024年第19期8-10,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察腔内激光闭合术联合大隐静脉高位结扎、点式抽剥术治疗下肢静脉曲张患者的效果。方法:选取2021年11月至2022年11月该院收治的66例下肢静脉曲张患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各33例。对照组采用大隐静脉高位结扎联合点式抽剥术治疗,研究组在对照组基础上联合腔内激光闭合术治疗,比较两组手术相关指标(术中出血量、手术时间、术后下床活动时间、住院时间)水平、症状相关指标水平、并发症发生率和复发率。结果:两组术中出血量、手术时间、住院时间比较,差异均无统计学意义(P>0.05);研究组术后下床活动时间短于对照组,差异有统计学意义(P<0.05);研究组下肢色素沉着、下肢酸胀疼痛、下肢肿胀、下肢溃疡等症状相关指标水平均优于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为12.12%(4/33),低于对照组的33.33%(11/33),差异有统计学意义(P<0.05);两组术后6、12个月复发率比较,差异均无统计学意义(P>0.05)。结论:腔内激光闭合术联合大隐静脉高位结扎、点式抽剥术治疗下肢静脉曲张患者可缩短术后下床活动时间,改善症状相关指标水平,降低并发症发生率,效果优于大隐静脉高位结扎联合点式抽剥术治疗。Objective:To observe effects of endovenous laser ablation combined with high ligation of great saphenous vein and point stripping in treatment of patients with lower extremity varicose veins.Methods:A prospective study was conducted on 66 patients with lower extremity varicose veins admitted to the hospital from November 2021 to November 2022.According to the random number table method,they were divided into control group and study group,33 cases in each group.The control group was treated with high ligation of great saphenous vein combined with point stripping,while the study group was treated with endovenous laser ablation on the basis of that of the control group.The levels of operation-related indexes(intraoperative blood loss,operation time,postoperative ambulation time,hospitalization time),the symptom-related index levels,the incidence of complications,and the recurrence rate were compared between the two groups.Results:There were no significant differences in the intraoperative blood loss,the operation time and the hospitalization time between the two groups(P>0.05).The postoperative ambulation time in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The levels of operation-related indexes such as lower limb pigmentation,lower limb soreness and pain,lower limb swelling and lower limb ulcer in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 12.12%(4/33),which was lower than 33.33%(11/33)in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the recurrence rate between the two groups 6 and 12 months after the surgery(P>0.05).Conclusions:Endovenous laser ablation combined with high ligation of great saphenous vein and point stripping can shorten the postoperative ambulation time,improve the operation-related indexes levels and reduce the incidence of complica

关 键 词：下肢静脉曲张 大隐静脉高位结扎 腔内激光闭合术 点式抽剥术 症状 并发症 复发率 

分 类 号：R543.6[医药卫生—心血管疾病]