杂交手术治疗大隐静脉曲张(附35例报告)修改版.doc

激光、泡沫硬化杂交手术治疗大隐静脉曲张（附35例报告） 潘俊峰 吴玉竹 周科 王耕* 湖北医药学院附属太和医院血管外科，湖北，十堰，442000 【摘要】目的 评价激光联合泡沫硬化杂交手术治疗大隐静脉曲张的应用。方法 将72例患者，分成两组，分别行激光联合泡沫硬化杂交手术和单纯激光治疗；比较两组的局部复发率、手术时间、住院天数和局部并发症率。结果 两组局部复发率分别为5.0％和5.2％，差异无显著性（P＞0.05）；而手术时间、住院天数和局部并发症率，差异有显著性（P＜0.01）。结论 激光联合泡沫硬化疗法的杂交手术是一种新的治疗方法，较单纯激光治疗更具优势。 [关键词]激光; 泡沫硬化； 杂交; 大隐静脉曲张 Hybrid surgery of laser and foam sclerosant in treatment of great saphenous vein(a report of 35 cases) Pan jun-feng, Wu yu-zhu, Zhou Ke, wanggen*. ( Department of Vascular Surgery，Taihe hospital, Affiliated to Hubei Medical College, Shiyan, Hubei,442000,China) [Abstract] Objective To evaluate clinical application hybrid surgery of laser and sclerosant foam in treatment of the lower great saphenous vein. Methods 72cases of great saphenous vein were divided into 2 groups according to hybrid surgery of laser and sclerosant and simple laser .Local recurrence rates,operation time,the hospital stay and local 作者单位：潘俊峰 男 （1970.11~）副主任医师 442000 湖北十堰，湖北医药学院附属太和医院 通讯作者：王耕 主任医师 教授 硕士生导师 complication rates were compared between the two groups. Results The Local recurrence rate in hybrid surgery group was 5.0％and in simple laser group was 5.2％,and with no significant(P＞0.05).But operation time,the hospital stay and local complication rates were significant(P＜0.01). Conclusions Hybrid surgery of laser and foam sclerosant is a new treatment method, have more advantages compared with the simple laser treatment . [Keywords] laser; sclerosant foam; Hybrid; great saphenous vein 近年来，大隐静脉经典的手术包括大隐静脉高位结扎加分段结扎及大隐静脉剥脱术因其难看的手术疤痕而渐渐为患者所拒绝。由于微创技术具有创伤小、恢复快、术后肢体更美观的优点，已经逐渐成为人们新的选择[1]。随着静脉腔内激光治疗(endovenous laser treatment，EVLT)的广泛应用，激光治疗的简便、微创得到下肢静脉曲张患者的推崇，但单纯激光治疗对于小腿部皮肤的灼伤、局部肿胀和因物理损伤而致的浅静脉炎是众多血管外科医师难以克服的难题。我院从2009年4月~2010年10月，将72例患者随机分为两组，收集其中应用静脉腔内激光结合泡沫硬化的杂交手术治疗大隐静脉曲张35例和同期行单纯静脉腔内激光治疗37例患者临床资料，进行比较，现报道如下。 1 临床资料 1.1一般情况:治疗组35例，共41条肢体均行静脉腔内激光结合泡沫硬化的杂交手术；对照组37例，共39条肢体行单纯静脉腔内激光治疗。所有肢体均无硬化剂注射史及浅静脉手术史所有的患者均通过下肢深静脉顺行造影或彩超检查证实。两组患者从年龄、性别构成、病程时间及按修订后的CEAP (clinical-