内镜下大隐静脉切除术与大隐静脉剥脱术治疗下肢静脉曲张近期疗效对比研究.docVIP

内镜下大隐静脉切除术与大隐静脉剥脱术治疗下肢静脉曲张近期疗效对比研究 　　【摘要】 目的：探究内镜下大隐静脉切除术与大隐静脉剥脱术治疗下肢静脉曲张的疗效。方法：将在本院接受治疗的下肢静脉曲张的患者按随机数字表法分为对照组和观察组，对照组接受大隐静脉剥脱术联合透光旋切术，观察组接受内镜下大隐静脉切除术联合透光旋切术，比较两组患者的治疗效果。结果：观察组患者的单肢切口数（2.14±0.63）个，术中出血量（65.35±12.37）mL，住院时间（3.15±0.84）d，均明显少于对照组的（3.55±1.08）个，（183.45±25.43）mL，（4.84±1.12）d，比较差异有统计学意义（P0.05）。结论：内镜下大隐静脉切除术治疗在操作熟练的情况下治疗下肢静脉曲张能够改善患者预后，疗效显著，值得推广。 　　【关键词】 大隐静脉切除术； 大隐静脉剥脱术； 透光旋切术； 下肢静脉曲张 　　【Abstract】 Objective： To compare the clinical results of endoscopic greater saphenous vein venectomy combined with transilluminated powered phlebectomy （TIPP） and conventional stripping combined with TIPP for lower extremity varicosis. Method： Patients with lower extremity varicose veins treated in our hospital were divided into control group and observation group. The control group received great saphenous vein stripping surgery combined with transparent rotary resection， and the observation group received endoscopic saphenous vein resection combined with light rotation resection for treatment. Therapeutic results between the two groups were compared. Result： The number of incisions of the observation group was （2.14±0.63）， bleeding volume during operation was （65.35±12.37）mL， postoperative hospital stay was （3.15±0.84）d， which were less than （3.55±1.08）， （183.45±25.43）mL， （4.84±1.12）d of the control group， the differences were statistically significant （P0.05）. Conclusion： Endoscopic saphenous vein resection treatment in the operation of skilled treatment of varicose veins of lower extremity can improve the prognosis of patients， significant effect， worthy of promotion. 　　【Key words】 Great saphenous vein resection； Stripping of great saphenous vein； Light rotation resection； Varicose vein 　　First-author’s address： Zhumadian Central Hospital， Zhumadian 463000， China 　　doi：10.3969/j.issn.1674-4985.2016.07.032 　　下肢静脉曲张是一种由下肢静脉病变导致患者下肢疼痛、行走困难的常见的血管外科疾病，其发病率高达10%[1-2]。该病随着病情的发展会演变成淤积性皮炎及浅静脉血栓等，对患者生活与工作均会造成严重影响。随着对该病的深入研究，临床上针对于该病的手术方式也逐渐增多[3-5]。本院分别给予该病患者内镜下大隐静脉切除术与大隐静脉