文章摘要
冰 峰,冯银玲,任补元,梁 越,金翻亮.超声下腔内激光消融联合点式剥脱治疗大隐静脉曲张的效果和安全性观察[J].,2022,(23):4511-4515
超声下腔内激光消融联合点式剥脱治疗大隐静脉曲张的效果和安全性观察
Effect and Safety Observation of Ultrasonic Intraluminal Endovenous Laser Ablation and Point Stripping in the Treatment of Varicosis of Great Saphenous Vein
投稿时间:2022-03-22  修订日期:2022-04-18
DOI:10.13241/j.cnki.pmb.2022.23.022
中文关键词: 腔内激光  点式剥脱  大隐静脉曲张
英文关键词: Endovenous laser ablation  Point peeling  Varicosis of great saphenous vein
基金项目:内蒙古自治区自然科学基金项目(2017MS0842)
作者单位E-mail
冰 峰 内蒙古自治区人民医院血管外科 内蒙古 呼和浩特 010017 bingfeng0016@126.com 
冯银玲 内蒙古自治区人民医院神经内科 内蒙古 呼和浩特 010017  
任补元 内蒙古自治区人民医院血管外科 内蒙古 呼和浩特 010017  
梁 越 内蒙古自治区人民医院血管外科 内蒙古 呼和浩特 010017  
金翻亮 内蒙古自治区人民医院血管外科 内蒙古 呼和浩特 010017  
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中文摘要:
      摘要 目的:探讨超声下腔内激光消融联合点式剥脱治疗大隐静脉曲张的效果和安全性观察。方法:选取我院血管外科在2019年1月到2021年12月收治的140例大隐静脉曲张患者作为研究对象。将所有患者依照住院号单双号进行分组,分为联合组与对照组,每组70例。对照组采用常规高位结扎联合抽剥术进行治疗,联合组采用超声下腔内激光消融联合点式剥脱进行治疗。对比两组手术指标、临床疗效、术前术后下肢深静脉瓣膜功能变化以及术后并发症的发生率。结果:联合组的手术耗时较对照组高,术中出血量、切口个数及住院时间均较对照组低(P<0.05);两组临床疗效分布对比有明显差异,且联合组显效率高于对照组(P<0.05);术后3个月两组VCT均有缩短,Vmax均有提升,且联合组术后3个月VCT较对照组短,Vmax较对照组高(P<0.05);联合组术后并发症较对照组低(P<0.05)。结论:对大隐静脉曲张患者采用超声下腔内激光消融联合点式剥脱方法治疗,与常规手术相比疗效更佳,且能够明显改善患者下肢静脉瓣膜功能,安全性高。
英文摘要:
      ABSTRACT Objective: To investigate the effect and safety of ultrasonic internal endovenous laser ablation and point stripping in the treatment of varicosis of great saphenous vein. Methods: 140 patients admitted from January 2019 to December 2021 were selected as the study subjects. All patients were grouped according to hospitalization numbers into observation and matched groups, 70 per group. The matched group was treated with conventional high ligation combined with stripping, and the Joint group was treated with ultrasound subluminal laser ablation combined with point stripping. The two groups were compared with the surgical indexes, the clinical efficacy, the changes in the deep vein valve function of the lower limbs after surgery, and the incidence of postoperative complications. Results: The operation time of joint group was higher than that of matched group, and the amount of intraoperative blood loss, number of incisions and length of stay were lower than that of matched group (P<0.05); The clinical efficacy distribution between the two groups, and the development efficiency of the joint group was higher than that of the matched group (P<0.05); The VCT was shortened in both groups at 3 months after surgery, Vmax improved, the VCT in the joint group was shorter than that in the matched group(P<0.05), The Vmax was higher than that in the matched group (P<0.05); The postoperative complications in the joint group were lower than those in the matched group(P<0.05). Conclusion: Patients with varicosis of great saphenous vein combined with point stripping have better efficacy than conventional surgery, and can improve their lower limb venous valve function and high safety.
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