不同手术方法治疗大隐静脉曲张的临床对比分析
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黄建华

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A comparative study of different surgical approaches for treatment of simple saphenous vein varicosity
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    摘要:

    目的:对比研究使用三种不同方法治疗大隐静脉曲张的疗效。
    方法:对近5年来收治的大隐静脉曲张患者180例,分别采用新型微创剥脱器,传统金属剥脱器,血管腔内激光或射频治疗,每组60例。比较3组手术时间、术中出血量、术后出院时间、住院费用、并发症的发生率等指标。
    结果:新型微创剥脱器组比传统金属剥脱器组的手术时间、术中出血量均显著降低(P<0.01),术后住院时间、住院费用无显著性差异;与血管腔内激光或射频治疗组比较,新型微创剥脱器组手术时间、住院费用显著降低(P<0.01),术中出血量较激光或射频组有所增加,术后住院时间无显著性差异;3组并发症的发生率差异无统计学意义。
    结论:使用新型微创塑料剥脱器临床综合疗效优于使用传统金属剥脱器并可与血管腔内激光或射频治疗相媲美。

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    Abstract:Objective:To comparatively study the treatment effects of three surgical approaches for saphenous vein varicosity.
    Methods :During the past 5 years,180 cases of saphenous vein varicosity were treated by new stripper, traditional stripper, laser or radio-frequency respectively each group had 60 cases. The time of surgery, amount of bleeding, hospitalization fee, mean length of hospital stay and postoperative of complications of the 3 group were compared.
    Results:Time of surgery and amount of bleeding were less with new stripper than that with traditional stripper (P<0.01), hospitalization fee and mean length of hospital stay were similar. Time of surgery and hospitalization fee were also less with new stripper than that with laser or radio-frequency(P<0.01), but amount of bleeding was more with new stripper and mean length of hospital stay was similar. Postoperative complication rate was similar in the three groups.
    Conclusions:The therapeutic effect of surgery for saphenous vein varicosity with new stripper was better than that with traditional stripper, and as good as surgery with laser or radio-frequency, treatment.

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符洋, 黄建华, 李孝成, 刘光强, 汤恢焕, 吕新生, 张祁.不同手术方法治疗大隐静脉曲张的临床对比分析[J].中国普通外科杂志,2008,17(6):16-590.
DOI:10.7659/j. issn.1005-6947.2008.06.016

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  • 在线发布日期: 2008-06-25