大隐静脉高位结扎及主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张.docVIP

大隐静脉高位结扎及主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张 　　[摘要] 目的 探讨大隐静脉高位结扎及主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张的临床效果。 方法 2012年6月～2013年6月来本院进行下肢浅静脉曲张治疗的患者62例，其中行传统高位结扎联合驱血后曲张静脉抽剥术的患者32例（观察组），行传统高位结扎联合非驱血下曲张静脉抽剥术的患者30例（对照组）。评价两组患者的手术时间、术中出血量以及术后肢体肿胀、皮下血肿、肢体活动和皮肤感觉障碍的情况。 结果 两组手术时间、术中出血量以及皮肤感觉障碍比较，差异有统计学意义（P0.05）。 结论 大隐静脉高位结扎及主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张，可有效减少手术时间和出血量，创伤小，恢复快，治疗效果好，值得在临床上广泛应用。 　　[关键词] 大隐静脉高位结扎；驱血；曲张静脉点式抽剥；下肢浅静脉曲张 　　[中图分类号] R654.3 [文献标识码] B [文章编号] 1674-4721（2013）11（a）-0180-03 　　Clinical effect of high ligation and punctate stripping of main great saphenous vein combined with small incision punctate stripping in treatment of varicose vein while displacement blood for varicose veins of lower limbs 　　ZHU Zuo-yin1 LIU Xiao-chun2 XIAO Li-ping1 WANG Gui-chang1 YUAN Le-hong1 ZHU Jian-hua1 XIE Hua1 WANG Ting1 ZHONG Jian1 　　1.Department of the Second Surgery，Chinese Medicine Hospital of Nankang City in Jiangxi Province，Nankang 341400；2.People′s Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China 　　[Abstract] Objective To explore the clinical effect of high ligation and punctate stripping of main great saphenous vein combined with small incision punctate stripping in the treatment of varicose vein while displacement blood for varicose veins of lower limbs.Methods 62 patients who suffered from varicose veins of lower limbs were treated in our hospital from June 2012 to June 2013，in whom 32 patients were treated by high ligation of great saphenous vein combined with small incision punctate stripping treatment of varicose vein with displacement blood （observation group），30 patients were treated by high ligation of great saphenous vein combined with small incision punctate stripping treatment of varicose vein without displacement blood （control group）.The surgery time，blood loss，postoperative limb swelling，subcutaneous hematoma，limbs exercise，and esthesiodermia were evaluated.Results Two groups were compared in surgery time，blood loss，and esthesiodermia，the difference was