摘要
目的探讨2型糖尿病患者行腔内激光闭合术（endovenous laser treatment，EVLT）联合高位结扎术治疗大隐静脉曲张的可行性、安全性及有效性。方法分别对采用EVLT联合高位结扎术治疗的45例（52条肢体）合并2型糖尿病患者及同期45例（51条肢体）非糖尿病大隐静脉曲张患者的临床资料进行回顾性分析，并比较2组术前、术中及术后的情况。结果2组手术均获成功，症状缓解率100％，无下肢深静脉血栓形成、切口感染等。手术时间、住院天数、术后并发症等方面2组间差异无统计学意义（P〉0．05）。随诊1～4年，2组均无复发。结论腔内激光闭合联合高位结扎术治疗合并2型糖尿病的大隐静脉曲张患者安全、有效。围手术期必须严格控制血糖，术中需按操作规程施术，尽量避免各种并发症的发生。
Objective To investigate the feasibility, safety and efficacy of endovenous laser treatment （EVLT） combined with high ligation for great saphenous varicose veins patients with type 2 diabetics. Methods The clinical data of 45 cases of great saphenous varicose veins （52 affected limbs） with type 2 diabetics and 45 cases of great saphenous varicose veins （51 affected limbs） without diabetics treated by EVLT combined with high ligation were retrospectively an- alyzed. The pre - , intra - and postoperative conditions between the two groups were compared. Results The operation results were satisfactory in all patients, and the symptom improvement rate was 100% without deep venous thrombosis or incision infection. The operation time, length of stay and postoperative complications showed no significant difference be- tween the two groups （P 〉 0.05 ）. All the patients were followed up for 1 -4 years without recurrence. Conclusion EVLT combined with high ligation is safe and effective for the treatment of great saphenous varicose veins in patients with type 2 diabetics. The perioperative blood glucose control should be strict. The operating skills are also important for the prevention of complications.
出处
《徐州医学院学报》
CAS
2013年第10期679-681,共3页
Acta Academiae Medicinae Xuzhou
关键词
大隐静脉曲张
2型糖尿病
腔内激光闭合术
高位结扎术
great saphenous varicose veins
type 2 diabetics
endovenous laser treatment
high ligation
