微创点状剥脱术治疗大隐静脉曲张临床效果剖析.docVIP

微创点状剥脱术治疗大隐静脉曲张临床效果剖析 　　【摘要】 目的：分析微??点状剥脱术在治疗大隐静脉曲张中的临床效果。方法：选取笔者所在医院2013年1月-2016年1月收治的大隐静脉曲张患者70例作为研究对象，按数字奇偶法分为对照组（35例）和观察组（35例），对照组行传统剥脱术治疗，观察组行微创点状剥脱术治疗，比较两组患者的手术时间、术中出血量、住院时间、并发症、复发率及治疗前后静脉临床严重程度评分情况。结果：观察组的手术时间、术中出血量、住院时间分别为（42.21±21.13）min、（39.37±12.31）ml、（5.61±0.32）d，对照组为（67.35±11.40）min、（58.24±20.40）ml、（8.12±1.01）d，观察组均低于对照组，差异均有统计学意义（P0.05），治疗后观察组患者静脉严重程度的评分为（3.78±0.24）分，对照组为（6.85±1.01）分，观察组评分优于对照组，差异有统计学意义（P0.05）。结论：对大隐静脉曲张患者行微创点状剥脱术，临床疗效明显，较传统剥脱术手术时间短、出血量少、创伤较小，值得临床推广、应用。 　　【关键词】 微创； 点状剥脱术； 大隐静脉曲张； 临床效果 　　doi：10.14033/j.cnki.cfmr.2016.33.009 文献标识码 B 文章编号 1674-6805（2016）33-0021-02 　　【Abstract】 Objective：To analyze the clinical effect of minimally invasive punctate stripping off surgery in the treatment of varicose veins.Method：70 patients with varicosis of great saphenous vein in our hospital from January 2013 to January 2016 were selected as the research objects，according to the number of parity they were divided into control group（35 cases） and observation group（35 cases），the control group underwent conventional stripping operation treatment，the observation group underwent minimally invasive punctate stripping surgery.The operation time，bleeding during operation，hospitalization time，complications，recurrence rate and venous clinical severity score before and after treatment were compared between the two groups.Result：The operation time，bleeding volume and hospitalization time was （42.21±21.13）min，（39.37±12.31）ml，（5.61±0.32）d in the observation group，the control group was （67.35±11.40）min，（58.24±20.40）ml，（8.12±1.01）d respectively，the indexes of the observation group were better than those of the control group，the differences were statistically significant（P0.05）.The intravenous severity score was （3.78±0.24） points in the observation group and （6.85±1.01） points in the control group，the observation group was superior to the control group，the difference was statistically significant（P 　　【Key words】 Minimally invasive； Punctate stripping； Varicose vei