微创与传统治疗下肢静脉曲张的效果比较
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摘要
目的探讨微创与传统手术治疗下肢静脉曲张的效果。方法选取2009年3月~2016年3月广东省中医院微创外科收治的189例下肢静脉曲张病例为研究对象,根据不同术式分为两组,其中微创手术治疗组(微创组)85例,传统手术治疗组(传统组)104例。比较两组患者的手术时间、术中出血量、术后住院时间、住院费用、术后并发症发生率。结果 189例患者手术均获得成功。微创组的手术时间、术后住院时间均短于传统组,术中出血量少于传统组,差异有统计学意义(P<0.05)。两组患者的住院费用、术后并发症发生率差异无统计学意义(P>0.05)。结论微创手术治疗下肢静脉曲张能缩短手术时间和住院时间,创伤小,安全性较高。
Objective To compare the effect between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities. Methods A total of 189 patients with varicose veins of the lower extremities treated in Department of Minimally Invasive Surgery, Guangdong Province Traditional Chinese Medical Hospital from March 2009 to March 2016 were selected as study subjects and they were divided into two groups according to different operation methods. There were 85 cases in minimally invasive surgical treatment group(minimally invasive group) and 104 cases in traditional surgery treatment(traditional group). Operation time, the amount of bleeding during operation,postoperative hospitalization time, the hospitalization cost and the incidence of complications were compared between the two groups. Results All of the 189 cases were operated successfully. The operation time and postoperative hospitalization time of the minimally invasive group were shorter than those of the traditional group, and the amount of bleeding during operation was less than that of the traditional group(P < 0.05). There was no significant difference in the hospitalization cost and postoperative incidence of complications between the two groups(P > 0.05). Conclusion Minimally invasive surgery in the treatment of varicose veins of the lower extremities can shorten operation and hospitalization time, and the surgical trauma is little and the security is high.
Objective To compare the effect between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities. Methods A total of 189 patients with varicose veins of the lower extremities treated in Department of Minimally Invasive Surgery, Guangdong Province Traditional Chinese Medical Hospital from March 2009 to March 2016 were selected as study subjects and they were divided into two groups according to different operation methods. There were 85 cases in minimally invasive surgical treatment group(minimally invasive group) and 104 cases in traditional surgery treatment(traditional group). Operation time, the amount of bleeding during operation,postoperative hospitalization time, the hospitalization cost and the incidence of complications were compared between the two groups. Results All of the 189 cases were operated successfully. The operation time and postoperative hospitalization time of the minimally invasive group were shorter than those of the traditional group, and the amount of bleeding during operation was less than that of the traditional group(P < 0.05). There was no significant difference in the hospitalization cost and postoperative incidence of complications between the two groups(P > 0.05). Conclusion Minimally invasive surgery in the treatment of varicose veins of the lower extremities can shorten operation and hospitalization time, and the surgical trauma is little and the security is high.
引文
[1]吴孟超,吴在德,吴肇汉,等.外科学[M].8版.北京:人民卫生出版社,2013,45:515-517.
[2]吴庆华,张煜亚.推广普及CEAP分级法在我国血管外科的临床应用[J].中华普通外科杂志,2008,23(3):164-167.
[3]Mperman PE,Sichlau M,Ryu RK.Greater energydelivery improves treatment suecess of endovenous laser treatment of incompetent saphenous veins[J].J Vasc Interv Radiol,2004,15(10):1061-1063.
[4]Myers K,Fris R,Jolley D.Treatment of varicose veins by endovenous laser therapy:assessment of result by ultrasound surveillance[J].Med J Aust,2006,185(4):199-202.
[5]Brar R,Nordon IM,Hinchliffe RJ,et al.Surgical Management Of Varicose Veins:Meta-analysis[J].Vascular,2010,18(4):205-220.
[6]田浩,王辉,王永平,等.腔内激光与传统剥脱治疗原发性大隐静脉曲张的临床对比研究[J].中西医结合心血管病电子杂志,2017,5(27):65-66.
[7]徐雄,钱腾飞,邱学红,等.TRi VEX静脉曲张动力系统治疗下肢静脉曲张92例疗效分析[J].中国社区医师,2017,33(15):68-69.
[8]宋强,陈富文,朱建民,等.透光旋切术与传统手术治疗下肢浅静脉曲张的对比研究[J].中西医结合心血管杂志,2017,5(31):76-77.
[9]张万高,闫如虎,纵慧敏,等.聚桂醇泡沫硬化剂治疗下肢静脉曲张中两种不同注射途径的比较研究[J].介入放射学杂志,2014,23(5):392-396.
[10]Bountouroglou DG,Azzam M,Kakkos SK,et al.Ultrasound-guided foam sclerotherapy combined with sapheno-femoral ligation compared to surgical treatment of varicose veins:early results of a randomized controlled tria1[J].Eur J Vasc Endovasc Surg,2006,31(1):93-100.
[11]Abela R,Liamis A,Prionidis I,et al.Reverse foam selerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping:a prospective clinical series[J].Eur J Vasc Endovasc Surg,2008,36(4):485-490.
[12]宁建功.泡沫硬化剂注射联合大隐静脉高位结扎在下肢静脉曲张治疗中的应用观察[J].中国医学工程,2018,26(2):14-17.
[13]康涛,陆耀良,韩松.下肢静脉曲张治疗478例的体会[J].中国血管外科杂志:电子版,2014,6(3):167-169.
[14]董春锋,王苏杭.高位结扎剥脱联合透光旋切与高位结扎联合腔内激光治疗大隐静脉曲张的对比分析[J].临床外科杂志,2017,25(12):939-941.
[15]王国胜,罗庚,晏妮,等.泡沫硬化剂注射联合TriVex系统治疗下肢静脉曲张的临床分析[J].岭南现代临床外科,2017,17(5):578-581.
[16]牛启兵,陈泉,李安强,等.Trivex微创旋切术治疗下肢静脉曲张合并急性血栓性浅表静脉炎[J].中国微创外科杂志,2014,14(11):1008-1010.
[17]周梦婷,谭最,梁川.泡沫硬化剂治疗下肢静脉曲张的临床研究[J].临床外科杂志,2017,25(10):791-793.
[18]黄益,梁奇伟,陈汉威,等.泡沫硬化治疗下肢静脉曲张研究进展[J].中华介入放射学电子杂志,2017,5(2):65-69.
[19]叶波.激光联合泡沫硬化剂在下肢浅静脉曲张中的应用前景[J].临床外科杂志,2015,23(8):580-581.
[20]计鹏飞.激光联合泡沫硬化剂治疗下肢静脉曲张体会[J].浙江创伤外科,2017,22(5):902-904.
[2]吴庆华,张煜亚.推广普及CEAP分级法在我国血管外科的临床应用[J].中华普通外科杂志,2008,23(3):164-167.
[3]Mperman PE,Sichlau M,Ryu RK.Greater energydelivery improves treatment suecess of endovenous laser treatment of incompetent saphenous veins[J].J Vasc Interv Radiol,2004,15(10):1061-1063.
[4]Myers K,Fris R,Jolley D.Treatment of varicose veins by endovenous laser therapy:assessment of result by ultrasound surveillance[J].Med J Aust,2006,185(4):199-202.
[5]Brar R,Nordon IM,Hinchliffe RJ,et al.Surgical Management Of Varicose Veins:Meta-analysis[J].Vascular,2010,18(4):205-220.
[6]田浩,王辉,王永平,等.腔内激光与传统剥脱治疗原发性大隐静脉曲张的临床对比研究[J].中西医结合心血管病电子杂志,2017,5(27):65-66.
[7]徐雄,钱腾飞,邱学红,等.TRi VEX静脉曲张动力系统治疗下肢静脉曲张92例疗效分析[J].中国社区医师,2017,33(15):68-69.
[8]宋强,陈富文,朱建民,等.透光旋切术与传统手术治疗下肢浅静脉曲张的对比研究[J].中西医结合心血管杂志,2017,5(31):76-77.
[9]张万高,闫如虎,纵慧敏,等.聚桂醇泡沫硬化剂治疗下肢静脉曲张中两种不同注射途径的比较研究[J].介入放射学杂志,2014,23(5):392-396.
[10]Bountouroglou DG,Azzam M,Kakkos SK,et al.Ultrasound-guided foam sclerotherapy combined with sapheno-femoral ligation compared to surgical treatment of varicose veins:early results of a randomized controlled tria1[J].Eur J Vasc Endovasc Surg,2006,31(1):93-100.
[11]Abela R,Liamis A,Prionidis I,et al.Reverse foam selerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping:a prospective clinical series[J].Eur J Vasc Endovasc Surg,2008,36(4):485-490.
[12]宁建功.泡沫硬化剂注射联合大隐静脉高位结扎在下肢静脉曲张治疗中的应用观察[J].中国医学工程,2018,26(2):14-17.
[13]康涛,陆耀良,韩松.下肢静脉曲张治疗478例的体会[J].中国血管外科杂志:电子版,2014,6(3):167-169.
[14]董春锋,王苏杭.高位结扎剥脱联合透光旋切与高位结扎联合腔内激光治疗大隐静脉曲张的对比分析[J].临床外科杂志,2017,25(12):939-941.
[15]王国胜,罗庚,晏妮,等.泡沫硬化剂注射联合TriVex系统治疗下肢静脉曲张的临床分析[J].岭南现代临床外科,2017,17(5):578-581.
[16]牛启兵,陈泉,李安强,等.Trivex微创旋切术治疗下肢静脉曲张合并急性血栓性浅表静脉炎[J].中国微创外科杂志,2014,14(11):1008-1010.
[17]周梦婷,谭最,梁川.泡沫硬化剂治疗下肢静脉曲张的临床研究[J].临床外科杂志,2017,25(10):791-793.
[18]黄益,梁奇伟,陈汉威,等.泡沫硬化治疗下肢静脉曲张研究进展[J].中华介入放射学电子杂志,2017,5(2):65-69.
[19]叶波.激光联合泡沫硬化剂在下肢浅静脉曲张中的应用前景[J].临床外科杂志,2015,23(8):580-581.
[20]计鹏飞.激光联合泡沫硬化剂治疗下肢静脉曲张体会[J].浙江创伤外科,2017,22(5):902-904.