A referral patient who had previously under-gone varicose vein surgery was admitted as an emergency case.On admission,the patient complained of intolerable pain,paralysis and paresthesia of the affected limb,which was...A referral patient who had previously under-gone varicose vein surgery was admitted as an emergency case.On admission,the patient complained of intolerable pain,paralysis and paresthesia of the affected limb,which was characterized by acute arterial ischemia symptoms.Color Doppler of the artery of the affected limb indicated that no bloodflow signal existed in the superficial femoral artery.During exploratory operation,we found that the right superficial femoral artery instead of the great saphenous vein of the affected limb had been stripped and ligated.Therefore,the intact right great saphenous vein was taken for auto-transplantation by inverse end-to-end anastomosis to the proximal and distal residual superficial femoral artery,which resulted in gradual recovery.Except for ischemic reperfusion injury,no other post-operative complications occurred after a 10 month follow-up;however,the long-term curative effect needs further observation.Here we report our treatment experience.展开更多
目的探讨腔内射频消融术联合硬化注射术及点状剥脱术治疗大隐静脉曲张的临床效果。方法选取2014年1月至2020年6月北京市第二医院外科收治的80例大隐静脉曲张手术患者,采用腔内射频消融术联合硬化剂注射术及点状剥脱术的患者38例,为观察...目的探讨腔内射频消融术联合硬化注射术及点状剥脱术治疗大隐静脉曲张的临床效果。方法选取2014年1月至2020年6月北京市第二医院外科收治的80例大隐静脉曲张手术患者,采用腔内射频消融术联合硬化剂注射术及点状剥脱术的患者38例,为观察组;采用大隐静脉高位结扎剥脱术的患者42例,为对照组。比较两组术中出血量、手术时间、术后住院时间、术后疼痛视觉模拟评分(VAS)、术后并发症情况及静脉临床危重程度评分(VCSS)。结果观察组术中出血量少于对照组,手术时间、术后住院时间短于对照组,及术后24 h VAS评分低于对照组(P<0.05)。观察组术后皮下瘀斑及隐神经损伤发生率低于对照组(P<0.05)。两组切口感染发生率比较,差异无统计学意义(P>0.05)。两组均未发生血栓性浅静脉炎及深静脉血栓。术后随访1年,两组均无复发。两组术后1年VCSS评分较术前降低(P<0.05)。结论腔内射频消融联合硬化剂注射及点状剥脱术治疗大隐静脉曲张效果显著,可降低术中出血量,减少手术时间和住院时间,避免并发症的发生,加快术后康复。展开更多
文摘A referral patient who had previously under-gone varicose vein surgery was admitted as an emergency case.On admission,the patient complained of intolerable pain,paralysis and paresthesia of the affected limb,which was characterized by acute arterial ischemia symptoms.Color Doppler of the artery of the affected limb indicated that no bloodflow signal existed in the superficial femoral artery.During exploratory operation,we found that the right superficial femoral artery instead of the great saphenous vein of the affected limb had been stripped and ligated.Therefore,the intact right great saphenous vein was taken for auto-transplantation by inverse end-to-end anastomosis to the proximal and distal residual superficial femoral artery,which resulted in gradual recovery.Except for ischemic reperfusion injury,no other post-operative complications occurred after a 10 month follow-up;however,the long-term curative effect needs further observation.Here we report our treatment experience.
文摘目的探讨腔内射频消融术联合硬化注射术及点状剥脱术治疗大隐静脉曲张的临床效果。方法选取2014年1月至2020年6月北京市第二医院外科收治的80例大隐静脉曲张手术患者,采用腔内射频消融术联合硬化剂注射术及点状剥脱术的患者38例,为观察组;采用大隐静脉高位结扎剥脱术的患者42例,为对照组。比较两组术中出血量、手术时间、术后住院时间、术后疼痛视觉模拟评分(VAS)、术后并发症情况及静脉临床危重程度评分(VCSS)。结果观察组术中出血量少于对照组,手术时间、术后住院时间短于对照组,及术后24 h VAS评分低于对照组(P<0.05)。观察组术后皮下瘀斑及隐神经损伤发生率低于对照组(P<0.05)。两组切口感染发生率比较,差异无统计学意义(P>0.05)。两组均未发生血栓性浅静脉炎及深静脉血栓。术后随访1年,两组均无复发。两组术后1年VCSS评分较术前降低(P<0.05)。结论腔内射频消融联合硬化剂注射及点状剥脱术治疗大隐静脉曲张效果显著,可降低术中出血量,减少手术时间和住院时间,避免并发症的发生,加快术后康复。
