摘要
目的研究分析透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的疗效观察。方法选取本院2015年2月～2017年5月收治的90例下肢静脉曲张的患者为研究对象，随机分为对照组和实验组，每组患者各为45例。对照组患者给予传统的大隐静脉高位结扎并抽剥手术，实验组患者给予透视引导下聚桂醇泡沫硬化剂治疗。比较分析2组患者的治疗效果。结果手术后，实验组患者中，2例患者复发，复发率为4.4%。对照组患者中，6例患者复发。可得，对照组患者复发率（13.3%）显著高于实验组，差异具有统计学意义（P＜0.05）。经过对应的治疗后，实验组患者的术中出血量为（10.23±1.52）mL，对照组患者术中出血量为（32.19±2.34）mL。可得，实验组患者术中出血量显著少于对照组，差异具有统计学意义（P＜0.05）。另外，实验组患者的平均住院时间以及手术时间和切开长度等指标均显著优于对照组，差异具有统计学意义（P＜0.05）。结论透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的临床效果较好，复发率较低，能够显著降低术中出血量，缩短手术时间，具有临床推广的意义。
Objective To investigate and analyze the effect of polyurethane foam sclerotherapy on varicose veins of lower extremity underthe guidance of fluoroscopy.Methods90patients with varicose veins treated in our hospital from February2015to May2017were selected andrandomly divided into the control group and the experimental group,with45patients in each group.The patients in the control group were givenconventional high ligation and stripping of the great saphenous vein.The patients in the experimental group were treated with fluoroscopic guidedpolyurethane foam sclerotherapy.The therapeutic effects of the2groups were compared and analyzed.Results After operation,2patients relapsed inthe experimental group,and the recurrence rate was4.4%.In the control group,6patients relapsed.The recurrence rate(13.3%)in the control groupwas significantly higher than that in the experimental group,with statistical difference.After the corresponding treatment,the intraoperative bloodloss in the experimental group was(10.23±1.52)mL,and the bleeding volume in the control group was(32.19±2.34)mL.The bleeding volume inthe experimental group was significantly less than that in the control group,with statistical difference.In addition,the average length of stay,lengthof operation and length of incision in the experimental group were significantly better than those in the control group,with statistical difference.Conclusion The clinical effect of fluoroscopy guided lauromacrogol foam sclerosing agent in the treatment of varicose vein of lower limb is better,the recurrence rate is low,can significantly reduce the amount of bleeding,shorten operation time,has clinical significance.
作者
茅剑强
钱坚革
MAO Jian-qiang;QIAN Jian-ge(Department of Dermatology, Tongxiang Dermatology hospital, Tongxiang 314500, China;Department of Plastic Surgery,Tongde Hospital of Zhejiang Province, Hangzhou 310012, China)
出处
《中国生化药物杂志》
CAS
2017年第9期228-229,共2页
Chinese Journal of Biochemical Pharmaceutics
关键词
透视引导
聚桂醇泡沫硬化剂
下肢静脉曲张
治疗效果
fluoroscopic guidance
polyol foam sclerotherapy
varicose veins of lower extremity
treatment outcome
