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河北医学  2018, Vol. 24 Issue (9): 1519-1521    DOI: 10.3969/j.issn.1006-6233.2018.09.030
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
腔内激光与传统手术在大隐静脉曲张中的对比研究
赵丹丹, 袁亚君, 赵铁柱
沈阳医学院附属第二医院血管外科, 辽宁 沈阳 110035
Comparative Study on Intracavitary Laser and Conventional Surgery in Varicose Veins
ZHAO Dandan
The Second Affiliated Hospital of Medical College, Liaoning Shenyang 110035, China
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摘要 目的: 对比静脉腔内激光与传统手术在大隐静脉曲张中的临床疗效。 方法: 选取90例大隐静脉曲张患者作为研究对象。将90例患者采用随机数字法分为45例观察组和45例对照组。观察组:静脉腔内激光治疗术;对照组:大隐静脉高位结扎+分段抽剥治疗术。系统观察指标:①术中治疗情况;②术后疼痛及一年复发率;③术后并发症;④症状改善情况。 结果: ①观察组手术时间、术中出血量、术后住院时间均显著低于(t=9.57、12.54、8.62,P<0.05);②观察组术后疼痛及一年复发例数均显著低于对照组(χ2=9.24,P<0.05);③观察组术后并发症显著少于对照组(χ2=8.95,P<0.05);④观察组术后症状较对照组显著改善(χ2=9.75,P<0.05);⑤两组患者生活质量评分在治疗前差异无统计学意义(t=1.13,P>0.05),治疗后两组较治疗前均有显著性改善(t=16.74、22.74,P<0.05);但治疗后观察组较对照组改善更显著(t=13.48,P<0.05)。 结论: 静脉腔内激光术优于传统手术治疗方法,是一种操作简单,疼痛轻、恢复快、手术并发症少、复发率低,安全、有效、能够提高远期疗效的微创治疗方法。
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关键词 腔内激光 传统手术 大隐静脉曲张    
AbstractObjective: To compare venous luminal laser and traditional surgery in the great saphenous vein in the clinical efficacy. Methods: 90 patients with varicose veins were selected as the subjects. Ninety patients were randomized to 45 patients and 45 controls. The observation group was treated with intravenous laser therapy, the control group to the great saphenous vein ligation + segmental stripping treatment. The observation and evaluation index of the system: Intraoperative,; postoperative pain and recurrence rate of one year; postoperative complications; symptoms improved. Results: ①The operation time, intraoperative blood loss and postoperative hospital stay were significantly lower in the observation group(t=9.57, 12.54, 8.62, P<0.05); ②The number of postoperative pain and recurrence in the observation group were significantly lower than those in the control group(χ2=9.24,P<0.05); ③The postoperative complications were significantly less than those in the control group(χ2=8.95,P<0.05); ④The postoperative complications were significantly less than those in the control group(χ2=9.75, P<0.05); ⑤There was no significant difference in the quality of life score between the two groups before treatment (t=1.13, P>0.05). After treatment, the two groups had significant improvement compared with before treatment (t=16.74, 22.74, P<0.05); The post-observation group improved more significantly than the control group (t=13.48, P<0.05). Conclusion: Intravenous luminal laser surgery is superior to traditional surgical treatment. It is a minimally invasive treatment method with simple operation, mild pain, quick recovery, less operative complications, low recurrence rate, safe and effective.
Key wordsIntracavitary laser    Traditional surgery    Varicose veins
    
基金资助:辽宁省沈阳市科学园科技基金项目,(编号:20172033)
引用本文:   
赵丹丹, 袁亚君, 赵铁柱. 腔内激光与传统手术在大隐静脉曲张中的对比研究[J]. 河北医学, 2018, 24(9): 1519-1521.
ZHAO Dandan. Comparative Study on Intracavitary Laser and Conventional Surgery in Varicose Veins. HeBei Med, 2018, 24(9): 1519-1521.
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