| 张祁黄建华△ 孙维佳刘光强夏仁鹏张梦华田壮博.应用新型静脉剥脱导管单次与分次手术治疗双下肢单纯性静脉曲张的疗
效对比[J].,2011,11(14):2664-2667 |
| 应用新型静脉剥脱导管单次与分次手术治疗双下肢单纯性静脉曲张的疗
效对比 |
| New Vein Stripper for Double Lower Limbs Simple Varicosis：Comparisonof Single-step and Sub-step Sripping Operation |
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| DOI： |
| 中文关键词: 静脉曲张 下肢 剥脱导管 剥脱术 并发症 |
| 英文关键词: Varicosis Lower limbs Stripper Stripping Complication |
| 基金项目: |
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| 中文摘要: |
| 目的：对比分析应用新型静脉剥脱导管单次与分次手术治疗双下肢单纯性静脉曲张的疗效。方法：采用严格的纳入和排除
标准选取我院2007 年8 月至2010 年8 月收治的双下肢单纯性静脉曲张患者53 例，以接受采用法国Gamida 公司新型静脉剥脱
导管的大隐静脉高位结扎加剥脱手术次数不同分为两组。单次手术组：（28 例）患者一次性接受双侧手术；分次手术组：（25 例）患
者接受单侧手术，1 月后再入院接受对侧手术。结果：分次手术组两次手术时间总和较单次手术组手术时间长（P = 0.034），而两组
在术中失血量上无明显差异（P = 0.550）。两组临床治愈率及出现并发症的几率相当（P > 0.05），但分次手术组的住院时间及住院
费用均明显高于单次手术组（P < 0.001）。结论：应用新型静脉剥脱导管单次手术剥脱双下肢单纯性静脉曲张的疗效与分次手术相
当，但在经济方面单次手术显示出明显的优势，值得推广。 |
| 英文摘要: |
| Objective: To compare the clinical effects of single-step and sub-step stripping operation using new vein stripper
(Gamida Corp., France) for double lower limbs simple varicosis. Methods: 53 cases of double lower limbs simple varicosis were separated
into single-step and sub-step operation groups (sin-group and sub-group for short respectively). Patients in sin-group were treated with
single step stripping operation using new stripper, but those in sub-group were treated twice. Results: The operation time of sub-group is
longer than that of sin-group (P = 0.034). There are much more hospital stay and charges of sub-group versus sin-group (P < 0.001). No
obvious difference was found in two groups by blood loss, clinical cure rate and complications (P>0.05). Conclusions: The clinical
effects of single-step stripping operation using new vein stripper for double lower limbs simple varicosis are equivalent with those of
sub-step stripping operation. While, the single-step stripping operation shows a clear advantage in the economy, which is worth popularizing. |
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