驱血带联合微创剥离器治疗大隐静脉曲张的临床观察.docVIP

精品论文 参考文献 驱血带联合微创剥离器治疗大隐静脉曲张的临床观察 范　颖　陈　玉　龚　光　熊义祥 　　宜宾市第二人民医院　四川　宜宾　６４４０００ 　　【摘要】　目的　探讨驱血带联合微创剥离器治疗大隐静脉曲张的疗效.方法　回顾性分析２００９年９月至２０１３年１２月收治３３８例大隐静脉曲张患者,分别采用传统金属剥脱器、高位结扎联合血管腔内激光、驱血带联合微创剥脱器治疗,其中传统金属剥脱器(传统组)１１８例,高位结扎联合血管腔内激光(激光组)９２例,驱血带联合微创剥脱器(微创组)１２８例,比较３组在手术时间,术中出血量,住院时间,术后并发症发生率,复发率方面的差异.结果　微创组及激光组与传统组相比,手术时间、术中出血量及住院天数显著降低(P＜０．０１).微创组较激光组在手术时间、术中出血量、术后复发率方面,显著降低(P＜０．O１);住院天数方面无显著差异(P＞０．０５).三组术后早期并发症发生率无明显差异(P＞０．０５).结论　驱血带联合微创剥离器是治疗大隐静脉曲张的有效方法,值得临床广泛推广.【关键词】　大隐静脉曲张;　传统金属剥脱器;　血管腔内激光;　驱血带;　微创剥脱器Aclinicalreseachoftheblooddrivebeldandminimallyinvasivestripperinthetreatmentofgreatsaphenousveinvaricosity　FanYing,ChenYu,Gong,XiongYixiang　(YibinSecondPeople＇sHospitalYibinSichuan６４４０００)【Abstract】　Objective:Toexploretheclinicaleffectoftheblooddrivebeldandminimallyinvasivestripperinthetreatmentofgreatsaphenousveinvaricosity (GSVV)．Methods:Toretrospectiveanalysis３３８casesGSVVfromSeptember２００９toDecember２０１３．AllsamlpleswererespectivelytreatedbytraditionalstripＧper(TS１１８cases),endogenouslasercombinedwithhighligation(ELCHL９２cases)orblooddrivebeldandminimallyinvasivestripper(MIS１２８cases)．Itwascomparedeachgroupthattimeofsurgery,amountofbleeding,meanlengthofhospitalstay,postoperativecomplicationsandrecurrencerate．Results:timeofsurＧgery,amountofbleeding,meanlengthofhospitalstayinMISandELCHLgroupswasnotableshorterthaninTSgroup(P＜０．０１)．Timeofsurgery,amountofbleedingandrecurrencerateinMISgroupswasnotableshorterthaninELCHLgroup(P＜０．０１);meanlengthofhospitalstaywassimilar(P＞o．０５)．PostopＧerativecomplicationswassimilarinthreegroups(P＞o．０５)．Conclusion:ItisaneffectivemethodfortreatmentofGSVVwiththeblooddrivebeltandminimallyinvasi【vKeesytrwioprpdesr】,worthclinicalpopularizingwidely． 　Greatsaphenousveinvaricosity;　Traditionalstripper;　Endogenouslaser;　Blooddrivebeld;　Minimallyinvasivestripper 【中图分类号】R６５４．３ 【文献标识码】B 　　【文章编号】１００１－５３０２(２０１５)０９－０６７４－０２　　 　　大隐静脉曲张是血管外科最常见的疾病之一.发病原因多数为静脉壁软弱,静脉瓣膜功能缺陷,浅静脉内压力升高,静脉血液倒流,使下肢浅静脉迂曲、扩张.从事重体力劳动及长期站立工作,是该病重要的诱发因素.其治疗的主要方法仍然是外科手术,近年来出现多种多样的手术方式[１],其疗效、创伤程度及术后复发情况各家报告不一