大隐静脉高位结扎和主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张.doc

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1、大隐静脉高位结扎和主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张［摘要］目的探讨大隐静脉高位结扎及主干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张的临床效果。方法2012年6月〜2013年6月来本院进行下肢浅静脉曲张治疗的患者62例，其中行传统高位结扎联合驱血后曲张静脉抽剥术的患者32例(观察组)，行传统高位结扎联合非驱血下曲张静脉抽剥术的患者30例(对照组)。评价两组患者的手术时间、术中出血量以及术后肢体肿胀、皮下血肿、肢体活动和皮肤感觉障碍的情况。结果两组手术时间、术中出血量以及皮肤感觉障碍比较，差异有统计学意义(P0.05)。结论大隐静脉高位结扎及主

2、干抽剥联合驱血后曲张静脉点式抽剥治疗下肢浅静脉曲张，可有效减少手术时间和出血量，创伤小，恢复快，治疗效果好，值得在临床上广泛应用。［关键词］大隐静脉高位结扎；驱血；曲张静脉点式抽剥；下肢浅静脉曲张［中图分类号］R654.3［文献标识码］B［文章编号］1674-4721(2013)11(a)-0180-03Clinicaleffectofhighligationandpunctatestrippingofmaingreatsaphenousveincombinedwithsmallincisionpunctatestrippingintreatmentofvarico

3、seveinwhiledisplacementbloodforvaricoseveinsoflowerlimbsZHUZuo-yinlLIUXiao-chun2XIAOLi-pinglWANGGui-changlYUANLe-honglZHUJian-hualXIEHuaiWANGTinglZHONGJianl1.DepartmentoftheSecondSurgery,ChineseMedicineHospitalofNankangCityinJiangxiProvince,Nankang341400；2.People7sHospitalofGanzhouCity

4、inJiangxiProvince,Ganzhou341000,China[Abstract]ObjectiveToexploretheclinicaleffectofhighligationandpunctatestrippingofmaingreatsaphenousveincombinedwithsmallincisionpunctatestrippinginthetreatmentofvaiicoseveinwhiledisplacementbloodforvaricoseveinsoflowerlimbs・Methods62patientswhosuffe

5、redfromvaricoseveinsoflowerlimbsweretreatedinourhospitalfromJune2012toJune2013,inwhom32patientsweretreatedbyhighligationofgreatsaphenousveincombinedwithsmallincisionpunctatestrippingtreatmentofvaricoseveinwithdisplacementblood(observationgroup),30patientsweretreatedbyhighligationofgrea

6、tsaphenousveincombinedwithsmallincisionpunctatestrippingtreatmentofvaricoseveinwithoutdisplacementblood(controlgroup)・Thesurgerytime,bloodloss,postoperativelimbswelling,subcutaneoushematoma,limbsexercise,andesthesiodermiawereevaluated・ResultsTwogroupswerecomparedinsurgerytime,bloodloss

7、,andesthesiodermia,thedifferencewassignificant(PO.05)・ConclusionHighligationandpunctatestrippingofmaingreatsaphenousveincombinedwithsmallincisionpunctatestrippingintreatmentofvaricoseveinwhiledisplacementbloodforvaricoseveinsoflowerlimbscaneffectivelyreducetheoperationtimeandbloodlos