腔内激光与泡沫硬化法治疗下肢静脉曲张的疗效比较.docVIP

精品论文 参考文献 腔内激光与泡沫硬化法治疗下肢静脉曲张的疗效比较 桂纯 　　（华润武钢医院血管外科 湖北 武汉 430080） 　　【摘要】 目的：探讨腔内激光与泡沫硬化法治疗下肢静脉曲张的临床疗效和安全性。方法：2013年11月～2015年6月，我院共收治62例下肢静脉曲张患者，均行手术治疗，其中31例行腔内激光治疗（观察组），31例行泡沫硬化法治疗，比较两组的临床疗效，并观察不良反应发生率。结果：观察组手术时间和术中出血量低于对照组，而住院费用高于对照组(Plt;0.05)；观察组总有效率高于对照组(Plt;0.05)；观察组不良反应发生率低于对照组(Plt;0.05)。结论：腔内激光治疗虽然费用略高，但手术创伤小，疗效佳，安全性较高，值得临床应用。 　　【关键词】 激光；泡沫硬化；下肢静脉曲张；疗效 　　【中图分类号】R543.2 【文献标识码】A 【文章编号】2095-1752（2016）10-0033-02 　　Comparison of the efficacy of the treatment of varicose veins of lower extremity with the laser and the method of foam 　　Gui Chun. Vascular surgery WISCO General Hospital, Hubei Province, Wuhan 430080, China 　　【Abstract】Objective To investigate the clinical efficacy and safety of the treatment of lower extremity varicose vein with the laser and the foam hardening. Methods 62 cases of varicose veins of lower extremities were treated by surgical treatment in June -2015, November 2013. 31 cases were treated by laser therapy (observation group), 31 cases were treated by foam hardening. The clinical effects were compared between the two groups. Results To observe the group the operative time and blood loss less than control group, and cost of hospitalization was higher than that of the control group (P lt; 0.05); the observation group, the total efficiency is higher than that of the control group (P lt; 0.05); to observe the adverse reactions of the two groups was lower than the control group (P lt; 0.05). Conclusion The treatment of cavity laser is a little higher, but the surgical trauma is small, the curative effect is good, safety is higher, it is worthy of clinical application. 　　【Key words】Laser; Foam hardening; Varicose vein of lower extremity; Curative effect 　　1.前言 　　下肢静脉曲张是血管外科的常见病，其发生率可达5～30%[1]。大隐静脉高位结扎抽剥术是以往常用的手术方法，但是创伤较大，术后恢复较慢。随着微创外科的发展，介入手术称为治疗下肢静脉曲张的金标准。腔内激光额泡沫硬化法是治疗下肢静脉曲张的主要介入手术方法[2]。本研究对这两种方法治疗下肢静脉曲张的疗效和安全性进行对比，为临床治疗方案的选择提供理论依据。 　　2.资料与方法 　　2.1 临床资料 　　病例纳入时间：2013年11月～2015年6月；地点：****；病例数：62例；均诊断为下肢静脉曲张。