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目的：探讨大隐静脉高位结扎加腔内激光治疗大隐静脉曲张的临床意义。方法：150 例大隐静脉曲张患者分为A、B 两组，其中A 组70 例，采用大隐静脉高位结扎加剥脱术治疗，B 组80 例，采用高位结扎加腔内激光治疗，比较两组在手术过程、术后疼痛、术后恢复及并发症发生率等方面的差别。结果：B 组患者切口个数、手术时间、术中出血量、止痛药使用百分比和平均住院时间均少于A 组(P<0.01 或0.05)，而两组间24hNRE 评分、首次下床时间和并发症发生率比较差异无显著性（P>0.05）。结论：大隐静脉高位结扎加腔内激光术的临床疗效优于传统的高位结扎加剥脱术，且患者损伤小、恢复快、疼痛轻，值得临床推广。

英文摘要:

Objective: To study the clinical significance of high ligation and intracavitary laser in the treatment of varicosis of great saphenous vein. Methods: In the A group, 70 cases with varicosis of great saphenous vein were treated by high ligation and stripping procedure, and 80 cases in B group by high ligation and intracavitary laser. To compare the curative effect of A and B group, the surgical procedure, postoperative pain, postoperative recovery and complication incidence were evaluated and analyzed. Results: The operation incision, surgery duration, amount of intraoperative bleeding, percentage of patients taking painkillers, duration of hospitalisation in group B were all significantly lower than those in group A (P<0.01 or 0.05), but there was no difference in NRE scores, time for first ambulation and complication incidence between the two groups (P>0.05). Conclusion: The high ligation and intracavitary laser procedure for varicosis of great saphenous vein has proved to be more effective than traditional method for low patient injury, rapid recovery and light pain, deserving to be widely used in clinical therapy.

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