摘要
目的:比较血流动力学校正术(CHIVA)联合应用泡沫硬化剂与腔内激光联合应用泡沫硬化剂治疗下肢静脉曲张的术后并发症及复发情况。方法:选取2018年1月—2019年12月我科收治的下肢静脉曲张患者120例,随机分为CHIVA组和静脉腔内激光治疗组,每组60例。术后均予弹力袜治疗2~3个月。术后6个月、1年进行门诊随访,比较两组术后疼痛、皮下淤血、切口感染、下肢水肿、色素沉着、皮肤灼伤、深静脉血栓形成(肌间)、隐神经损伤等并发症。结果:CHIVA组术后疼痛、皮下淤血、皮肤灼伤发生率低于激光治疗组,差异有统计学意义(P<0.05)。两组皮下淤血、下肢肿胀、色素沉着、深静脉血栓形成(肌间)、隐神经损伤发生率差异无统计学意义(P>0.05)。术后门诊随访6个月及1年,两组术后复发率差异无统计学意义(P>0.05),两组中静脉曲张复发的患者较少,均未行二次手术。结论:CHIVA治疗下肢静脉曲张是安全的、有效的,治疗效果优于激光治疗组,配合硬化治疗可以有效地解决分支静脉残留和交通支反流问题。
Objective To compare the effect and recurrence of CHIVA and intractability laser therapy combined with foam Schlesinger agent in the treatment of great saphenous varicose vein.Methods 120 patients with varicose veins of great saphenous vein admitted in our department from January 2018 to December 2019 were selected and randomly divided into CHIVA group and intravenous laser treatment group.After operation,all patients were treated with elastic stockings for 2-3 months.The outpatient follow-up was performed at 6 months and 1 year after surgery.The two groups were compared with complications such as postoperative pain,subcutaneous congestion,incision infection,lower extremity edema,pigmentation,skin burns,deep vein thrombosis(inter muscular)and saphenous nerve injury.Results Postoperative pain,subcutaneous congestion and skin burns in CHIVA were less than those in the laser group,which were statistically significant(P<0.05).Swelling of lower limbs,pigmentation,deep vein thrombosis and saphenous nerve injury were not statistically significant(P>0.05).The complication rate is low.There were recurrence within 6 months and 1 year after the outpatient follow-up.The recurrence rate of the two groups were less.Conclusion The therapeutic effect of the CHIVA group is better than that of the laser treatment group.It has higher safety and efficacy.Combined with chemotherapy,it can effectively solve the problem of branch vein residual and traffic branch re flux.
作者
何志国
张建生
王伟伟
吴岭
杜海鹏
冯福梅
陈大明
张磊
HE Zhi-guo;ZHANG Jian-sheng;WANG Wei-wei(Department of Surgery,Baodi Clinical College,Tianjin Medical University,Tianjin(301800),China)
出处
《中国中西医结合外科杂志》
CAS
2022年第1期89-92,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
