摘要
目的探讨泡沫硬化与大隐静脉高位结扎术治疗下肢静脉曲张的效果。方法抽取2018年4月至2019年4月河南大学附属南石医院收治的下肢静脉曲张患者82例按照交替分组法分为两组,每组41例。其中A组接受泡沫硬化剂注射术治疗,B组接受大隐静脉高位结扎术治疗。观察两组手术效果及手术相关指标,对比两组临床症状及体征评分及并发症发生情况。结果 A组治疗后静脉曲张改善程度优于B组(P<0.05);与B组相比,A组术中出血量较少且手术、下床活动及住院时间均较短(P<0.05);A组下肢肿胀、酸胀程度、下肢溃疡及色素沉着得分均低于B组,差异有统计学意义(P<0.05);A组并发症总发生率(4.88%)低于B组(21.43%),差异有统计学意义(P<0.05)。结论与大隐静脉高位结扎术相比,泡沫硬化治疗下肢静脉曲张的效果更佳,能够改善患者临床症状及体征得分,降低并发症发生率。
Objective To investigate the effect of foam sclerosis and high saphenous vein ligation on lower extremity varicose veins.Methods A total of 82 patients with varicose veins of lower extremities treated in Nanshi Hospital Affiliated to Henan University from April 2018 to April 2019 were selected,and divided into two groups according to the alternate grouping method,with 41 cases in each group.Among them,group A received foam sclerotherapy injection for treatment,and group B received high saphenous vein ligation for treatment.The operation effect and operation related indexes of the two groups were observed,and the clinical symptoms and signs scores and complications of the two groups were compared.Results The improvement of varicose veins in group A was better than that in group B(P<0.05);compared with group B,group A had less intraoperative blood loss and shorter operation,out-of-bed activity,and hospital stay(P<0.05);the scores of swelling,acid swelling,ulcer and pigmentation of lower limbs in group A were lower than those in group B,the differences were statistically significant(P<0.05);the total incidence of complications in group A(4.88%)was lower than that in group B(21.43%),the difference was statistically significant(P<0.05).Conclusions Compared with high saphenous vein ligation,foam sclerosis is more effective in the treatment of varicose veins of the lower extremities,which can improve the clinical symptoms and signs of patients and reduce the incidence of complications.
作者
王永
Wang Yong(Department of General Surgery,Nanshi Hospital Affiliated to Henan University,Nanyang 473000,China)
出处
《中国实用医刊》
2020年第20期82-84,共3页
Chinese Journal of Practical Medicine
关键词
下肢静脉曲张
泡沫硬化
大隐静脉
高位结扎术
Varicose veins of lower extremities
Foam sclerosis
Great saphenous vein
High ligation
