摘要
目的:观察腔内激光闭合术(EVLT)联合高位结扎抽剥术治疗大隐静脉曲张患者的效果。方法:选取2018年1月至2021年12月该院收治的96例大隐静脉曲张患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各48例。对照组采用高位结扎抽剥术治疗,观察组在对照组基础上联合EVLT治疗,比较两组术后恢复情况,手术前后Aberdeen静脉曲张症状严重程度(AVVSS)评分、慢性静脉功能不全问卷(CIVIQ)评分,以及并发症发生率。结果:观察组住院时间、患肢酸胀感消失时间、患肢沉重麻木感消失时间、首次下床活动时间均短于对照组,差异有统计学意义(P<0.05);术后6个月,两组AVVSS评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);术后1个月,两组CIVIQ各维度评分高于术前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为8.33%,明显低于对照组的25.00%,差异有统计学意义(P<0.05)。结论:EVLT联合高位结扎抽剥术治疗大隐静脉曲张患者可缩短住院时间、患肢酸胀感消失时间、患肢沉重麻木感消失时间和首次下床活动时间,降低AVVSS评分和并发症发生率,以及提高CIVIQ评分,效果优于单纯高位结扎抽剥术治疗。
Objective:To observe effects of endovenous laser treatment(EVLT)combined with high ligation and stripping in treatment of patients with varicose great saphenous veins.Methods:A prospective study was conducted on 96 patients with varicose great saphenous veins admitted to the hospital from January 2018 to December 2021.They were divided into observation group and control group according to the random number table method,48 cases in each.The control group was treated with high ligation and stripping,while the observation group was treated with EVLT on the basis of that of the control group.The postoperative recovery,the Aberdeen varicose vein symptom severity(AVVSS)score,the chronic venous insufficiency questionnaire(CIVIQ)score before and after operation,and the incidence of complications were compared between the two groups.Results:The hospitalization time,the disappearance time of limb soreness,the disappearance time of limb heaviness and numbness and the first time of getting out of bed in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the AVVSS scores of the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).1 month after the surgery,the scores of each dimension of CIVIQ in the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 8.33%,which was significantly lower than 25.00%in the control group,the difference was statistically significant(P<0.05).Conclusions:EVLT combined with high ligation and stripping in the treatment of the patients with varicose great saphenous veins can shorten the hospitalization time,the disappearance time of limb soreness,the disappearance time of limb
作者
蔡亚征
李祥波
CAI Yazheng;LI Xiangbo(Department of Vascular Surgery of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)
出处
《中国民康医学》
2023年第20期77-79,共3页
Medical Journal of Chinese People’s Health
