摘要
目的对比分析传统外科手术联合泡沫硬化剂治疗下肢静脉曲张的必要性、可行性及临床疗效。方法将636例C2-C6下肢静脉曲张患者,随机分为A组(传统外科手术)与B组(传统外科手术+泡沫硬化剂治疗),观察比较两组的临床疗效和并发症等指标。结果两组术后临床分级均较术前显著降低(P<0.01);术后复发率、残留率、隐神经损伤率、肺栓塞发生率低;组间复发率、残留率、肺栓塞发生率比较无统计学差异(P>0.05)。B组手术时间、住院时间、痊愈时间均显著短于A组(P<0.01),肢体肿胀程度、皮下瘀斑、血肿发生率均显著低于A组(P<0.01);两组术后血栓性静脉炎及静脉血栓发生率比较无统计学差异(P>0.05)。结论传统外科手术+泡沫硬化剂治疗下肢静脉曲张疗效确切,并发症更轻,优于单纯传统外科手术。
Objective To analyze the necessity, feasibility and effects of traditional surgery combined with foam sclerosing agent in the treatment of varicose vein of lower limb （VVLL）. Methods A total of 636 patients with C2-C6 VVLL were randomly divided into group A （traditional surgery） and group B （traditional surgery＋foam sclerosing agent）. The effects, complications and other indexes were observed and compared between the two groups. Results The post-operative clinical classification in the two groups was significantly lower than that before the operation （P 〈 0.01）; the post-operative recurrence rate, residual rate, saphenous nerve injury rate and the incidence of pulmonary embolism decreased; there was no difference in the recurrence rate, residual rate and the incidence of pulmonary embolism between the two groups （P 〈 0.05）. The operation time, length of stay （LOS） and cure time in group B were significantly shorter than those in group A （P 〈 0.01）, and the incidences of limb swelling, subcutaneous ecchymosis and hematoma were lower than those in group A （P 〈 0.01）; the incidences of post-operative thrombotic phlebitis and venous thrombosis between the two group had no significant difference（P 〉 0.05）. Conclusion Traditional surgery＋foam sclerosing agent is quite effective in the treatment of VVLL and the complications are minor, thus this therapy is better than simple traditional surgery.
出处
《西南国防医药》
CAS
2017年第7期659-661,共3页
Medical Journal of National Defending Forces in Southwest China
