摘要
目的探讨大隐静脉曲张的手术治疗方法与效果。方法选取四川省复员退伍军人医院收治的下肢静脉曲张患者40例,随机均分为2组(n=20)。A组采用经典手术方法(全部结扎各属支及主干,大隐静脉高位结扎+抽剥+远端静脉抽剥+静脉团块切除),B组采用改良手术方法(大隐静脉高位结扎+主干抽剥+曲张浅静脉经皮连续环形缝扎术)。结果 B组手术时间(平均65min)明显短于A组(平均90min),差异有统计学意义(u=2.008,P<0.05);2组均无切口感染,治疗效果相同。但B组切口瘢痕小,小腿无切口瘢痕,美容效果满意。随访2年均无复发。结论改良手术方法具有简单、省时、创伤小,手术后瘢痕小等优点,是一种实用、有效的微创手术方法。
Objective Discussion on method and effect of surgical treatment of Varicosis of great saphenous vein. Methods Randomly using classic surgery in the hospital （as a group） and improved surgical methods （set to B） in 20 patients each, analysis of the clinical information. Classical surgical approaches：namely ligation of all branches and the trunk, high ligation of great saphenous vein distal vein stripping＋peeling＋pellet＋vein resection. Improved operation method is the use of high ligation of great saphenous vein main＋peeling＋percutaneous continuous circular suture and ligation of varicose superifcial vein surgery. Results B set operating time （65 minutes on average） signiifcantly shorter than a group （90 minutes on averog e）, There is a statistically signiifcant difference （u=2.008,P〈0.05）, Both groups were no wound infection, treatment of the same effect. But Group B small incision scars, calf no incision scars, cosmetic result is satisfactory. Follow-up for 2 years-no relapse. Conclusion Improved surgical methods are simple, time-saving, less traumatic, such advantages as small scars after surgery, is a suitable and effective method of minimally invasive surgery.
出处
《当代医学》
2014年第21期32-33,共2页
Contemporary Medicine
关键词
静脉曲张
微创
手术治疗
Varicosevein
Minimally invasive surgery
Operative treatment
