摘要
目的探讨TriVex旋切术联合泡沫硬化剂注射在治疗下肢静脉性溃疡中的效果。方法收集103例下肢静脉性溃疡患者,以传统手术治疗患者45例作为对照组,TriVex旋切术联合泡沫硬化剂注射治疗的患者58例作为观察组,采用美国静脉论坛国际专家特别委员会提出的CEAP静脉分类系统(clinical-etiology-anatomic-pathophysiologic classification system,CEAP)分级标准分级,所有患者均达到C6级诊断标准。比较两组患者手术时间、术中出血量、术后并发症、住院时间、疼痛评分(视觉模拟评分法VAS)及溃疡愈合时间等指标。结果两组患者手术时间、术中出血量、住院时间和疼痛评分方面差异有统计学意义(P<0.05),观察组更优;两组患者的溃疡愈合时间差异无统计学意义(P>0.05);术后深静脉血栓形成差异有统计学意义(P<0.05),观察组更低;肺栓塞和其他术后并发症比较差异无统计学意义(P>0.05)。结论采用TriVex旋切术联合泡沫硬化剂注射治疗下肢静脉性溃疡具有安全、有效、微创的治疗效果,具有临床应用意义。
引文
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