摘要
目的:探讨大隐静脉高位结扎加腔内激光治疗大隐静脉曲张的临床意义。方法:150例大隐静脉曲张患者分为A、B两组,其中A组70例,采用大隐静脉高位结扎加剥脱术治疗,B组80例,采用高位结扎加腔内激光治疗,比较两组在手术过程、术后疼痛、术后恢复及并发症发生率等方面的差别。结果:B组患者切口个数、手术时间、术中出血量、止痛药使用百分比和平均住院时间均少于A组(P<0.01或0.05),而两组间24hNRE评分、首次下床时间和并发症发生率比较差异无显著性(P>0.05)。结论:大隐静脉高位结扎加腔内激光术的临床疗效优于传统的高位结扎加剥脱术,且患者损伤小、恢复快、疼痛轻,值得临床推广。
Objective： To study the clinical significance of high ligation and intracavitary laser in the treatment of varicosis of great saphenous vein. Methods： In the A group, 70 cases with varicosis of great saphenous vein were treated by high ligation and strip- ping procedure, and 80 cases in B group by high ligation and intracavitary laser. To compare the curative effect of A and B group, the surgical procedure, postoperative pain, postoperative recovery and complication incidence were evaluated and analyzed. Results： The op- eration incision, surgery duration, amount of intraoperative bleeding, percentage of patients taking painkillers, duration of hospitalisation in group B were all significantly lower than those in group A （P0.01 or 0.05）, but there was no difference in NRE scores, time for first ambulation and complication incidence between the two groups （P0.05）. Conclusion： The high ligation and intracavitary laser procedure for varicosis of great saphenous vein has proved to be more effective than traditional method for low patient injury, rapid recovery and light pain, deserving to be widely used in clinical therapy.
出处
《现代生物医学进展》
CAS
2011年第9期1744-1746,共3页
Progress in Modern Biomedicine
关键词
大隐静脉
静脉曲张
高位结扎
腔内激光
Great saphenous vein
Varicosis
Highligation
Intracavitary laser
