摘要
目的分析大隐静脉曲张(great saphenous vein varicosity,GSVV)患者接受大隐静脉高位结扎及点状剥脱术治疗的效果。方法病例选取2019年5月-2020年8月该院接诊的80例GSVV患者,根据随机数字表法均分为对照组(40例)行传统大隐静脉剥脱术、研究组(40例)行大隐静脉高位结扎及点状剥脱术,对组间手术相关指标、整体疗效、手术并发症进行分析。结果研究组手术用时(57.45±11.85)min、手术失血量(20.33±8.43)mL、术后抗生素使用时间(1.53±0.88)d、住院费用(5123.15±463.75)元、住院时间(4.41±1.36)d均少于对照组(81.45±23.16)min、(108.56±35.86)mL、(2.46±1.25)d、(5954.22±673.85)元、(7.38±1.52)d,差异有统计学意义(t=5.835、15.148、3.848、6.427、9.210,P<0.05);组间整体疗效差异无统计学意义(P>0.05),但研究组并发症发生率(5.00%)低于对照组(22.50%),差异有统计学意义(χ^(2)=5.165,P=0.023)。结论大隐静脉高位结扎及点状剥脱术对于治疗GSVV具有疗效确切、并发症少、手术创伤小、术后恢复快等优势。
Objective To analyze the effect of patients with great saphenous vein varicosity(GSVV)who received high ligation and punctate stripping of the great saphenous vein.Methods A total of 80 GSVV patients admitted to the hospital from May 2019 to August 2020 were selected and divided according to random number table method into the control group(40 cases)traditional great saphenous vein stripping,the study group(40 cases)high ligation of great saphenous vein and punctate stripping,the related indicators of the operation,the overall efficacy,and the complications of the operation were analyzed.Results The operation time of the study group was(57.45±11.85)min,the surgical blood loss was(20.33±8.43)mL,the postoperative antibiotic use time(1.53±0.88)d,the hospitalization expenses(5123.15±463.75)yuan,and the length of hospitalization(4.41±1.36)d were less than the control group(81.45±23.16)min,(108.56±35.86)mL,(2.46±1.25)d,(5954.22±673.85)yuan,(7.38±1.52)d,the difference was statistically significant(t=5.835,15.148,3.848,6.427,9.210,P<0.05);there was not statistically significant difference in overall efficacy between the groups(P>0.05),but the complication rate in the study group(5.00%)lower than the control group(22.50%),the difference was statistically significant(χ^(2)=5.165,P=0.023).Conclusion High ligation of the great saphenous vein and punctate stripping have the advantages of definite curative effect,less complications,less surgical trauma,and quick postoperative recovery for the treatment of GSVV.
作者
朱传江
ZHU Chuanjiang(Department of Tumor and Vascular Intervention,Peony People's Hospital of Heze City,Heze,Shandong Province,274000 China)
出处
《世界复合医学》
2021年第7期140-142,共3页
World Journal of Complex Medicine
