摘要
目的探讨采用弧形槽针做皮内缝合结扎曲张静脉的手术方式治疗单纯性大隐静脉曲张的治疗效果。方法选择30例单纯性大隐静脉曲张患者35条下肢,通过使用自制的弧形槽针在皮内环绕曲张静脉缝合结扎,将线结置于皮下;在常规大隐静脉结扎切口下方做切口,显露出大隐静脉主干,在分支下方用粗丝线双重结扎,不切断抽除大隐静脉主干与传统手术方式进行比较。结果随访6个月至2年半静脉曲张无一例复发,皮内缝合处针孔疤痕全部消失。结论采用弧形槽针治疗大隐静脉曲张的治疗方法安全可靠、简便省时、费用低、创伤小、小腿无疤痕,值得临床推广。
Objective To discusse the treatment of simple great saphenous varicose by the preliminary experience of intradermic suture ligature varicose vein by arc groove needle. Methods 35 pelvic limbs of 30 patients suffering from simple great saphenous varicose were chosen, the modus operandi of intradermic wraping and suturing ligature varicose vein with home - made arc groove needle were adopted and the knots were put in subcutaneous situs ; below the great saphenous vein ligation,the incision was done to show the great saphenous vein trunk. The double ligation were done with coarse thread below branches and extraction great saphenous vein trunk was not cut off, which was compared with the traditional surgical method. Results During the follow - up from 6 months to two years and a half, no patient recurred and scars in intradermic suture situs disappeared completely. Conclusions The operating therapy of treating simple great saphenous varicose with arc groove needle is a very safe and reliable method which have many advantages such as its convenience ,saving time, low expense and no scar. So it deserve be spread in clinical performance.
出处
《医学信息（手术学分册）》
2007年第12期1122-1123,共2页
Medical Information Operations Sciences Fascicule
关键词
大隐静脉曲张
弧形槽针
皮内缝合
great saphenous varicose
arc groove needle
intradermic suture
