点状剥脱联合高位结扎术在大隐静脉曲张治疗中应用.docVIP

点状剥脱联合高位结扎术在大隐静脉曲张治疗中应用 　　【摘要】 目的：探讨点状剥脱联合高位结扎术在大隐静脉曲张手术中的临床效果。方法：选取笔者所在医院2014年10月-2015年10月大隐静脉曲张患者60例为研究对象，随机分为两组，每组30例。对照组应用传统高位结扎及切开剥除术，观察组应用点状剥脱联合高位结扎术，对比两组的治疗效果。结果：观察组手术时间、出血量、VAS疼痛评分、术后下床活动时间、术后住院时间均优于对照组，差异有统计学意义（P0.05）。结论：点状剥脱联合高位结扎术在大隐静脉曲张手术中具备创伤小、恢复快的效果，值得临床进行推广使用 【关键词】 点状剥脱； 高位结扎； 大隐静脉曲张 doi：10.14033/j.cnki.cfmr.2016.33.002 文献标识码 A 文章编号 1674-6805（2016）33-0004-03 【Abstract】 Objective：To investigate the clinical effect of point-like exfoliation combined with high-level ligation in the operation of varicose great saphenous vein.Method：Sixty patients with varicose veins of great saphenous vein in our hospital from October 2014 to October 2015 were randomly divided into two groups，with each group 30 cases.The control group was treated with traditional high-level ligation and incision，and the observation group was treated with point-like exfoliation combined with high-level ligation，and the therapeutic effect of the two groups was compared.Result：The operation time，the blood loss，the postoperative pain，the postoperative out-of-bed activity time，the hospital stay of the observation group were better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：Point-like exfoliation combined with high-level ligation can be used in the surgery of great saphenous varicose veins.It has the effect of fast recovery and minimally invasive，it is worth promoting and applying in clinic. 【Key words】 Point-like exfoliation； High-level ligation； Varicose great saphenous vein First-authors address：Nanping First Hospital Affiliated to Fujian Medical University，Nanping 353000，China 大?[静脉曲张是普外科最常见的疾病之一。属于下肢静脉逆流性疾病，大隐静脉为下肢浅静脉的主要属支，在汇入股静脉前，有五大主要属支，分别为股外侧静脉、股内侧静脉、旋髂浅静脉、腹壁浅静脉、阴部外静脉。在小腿处通过交通支穿过深筋膜与深静脉相通。静脉曲张发生的主要原因同静脉瓣膜功能不全、肌关节泵功能减弱有关。大隐静脉曲张是一个慢性的过程，往往同各种原因所致静脉瓣膜功能缺陷，与静脉壁薄弱，长期静坐，站立，下肢远端处于高压、淤血状态，以及局部慢性炎症，血流紊乱有关[1] 据欧美文献[2-3]报道，在美国成人中发病率达到23%，在欧洲国家可达近50%。在我国大隐静脉曲张同样为多发常见疾病。疾病初期可能无明显临床症状，而后逐渐出现色素沉着、瘙痒、溃疡形成，甚至并发静脉血栓等并发症。本文针对大隐静脉曲张治疗