大隐静脉高位结扎加微波消融联合泡沫硬化剂对下肢静脉曲张临床研究

doi:10.3969/j.issn.2095-378X.2019.03.007

外科研究与新技术 ›› 2019, Vol. 8 ›› Issue (3): 170-173.doi: 10.3969/j.issn.2095-378X.2019.03.007

大隐静脉高位结扎加微波消融联合泡沫硬化剂对下肢静脉曲张临床研究

唐石驹, 刘珍艳, 梁江, 董红平, 郭湃

广东省东莞康华医院普外1科,东莞 523080

收稿日期:2019-05-10 出版日期:2019-09-28 发布日期:2019-12-05
作者简介:唐石驹(1982—),男,大学本科,副主任医师,从事普外科临床工作;电子信箱:173741439@qq.com
基金资助:
广东省东莞市科学技术局项目(2018507150591255)

Clinical study on high ligation of great saphenous vein and microwave ablation combined with foam sclerotherapy for varicose veins of lower extremities

TANG Shiju, LIU Zhenyan, LIANG Jiang, DONG Hongping, GUO Pai

Department of General Surgery l, Guangdong Province Dongguan Kanghua Hospital, Dongguan 523080, China

Received:2019-05-10 Online:2019-09-28 Published:2019-12-05

摘要/Abstract

摘要： 目的探讨大隐静脉高位结扎加腔内微波消融联合泡沫硬化剂治疗下肢静脉曲张的临床研究。方法选自于2016年12月至2018年12月期间收治的下肢静脉曲张患者100例,按照随机表法分为常规治疗组50例与联合治疗组50例。常规治疗组采用传统手术治疗,联合治疗组采用大隐静脉高位结扎加腔内微波消融联合泡沫硬化剂治疗。比较两组手术时间、住院时间和术中失血量情况,术后并发症情况,及治疗疗效。结果联合治疗组手术时间短于常规治疗组,住院时间短于常规治疗组,且术中失血量少于常规治疗组(P<0.05)。联合治疗组术后并发症发生率(4.00%)低于常规治疗组(24.00%, P<0.05)。联合治疗组总有效率(98.00%)高于常规治疗组(82.00%, P<0.05)。结论大隐静脉高位结扎加腔内微波消融联合泡沫硬化剂治疗下肢静脉曲张临床疗效显著,且术后并发症少,值得临床借鉴。

关键词: 大隐静脉高位结扎, 腔内微波消融, 泡沫硬化剂, 下肢静脉曲张

Abstract: Objective To investigate the clinical effect of high ligation of great saphenous vein plus microwave ablation combined with foam sclerotherapy on varicose veins of lower extremities.Methods From December 2016 to December 2018, 100 patients with varicose veins of lower extremities were randomly divided into conventional treatment group (50 cases) and combined treatment group (50 cases) by random number table.The conventional treatment group was treated with traditional surgery, and the combined treatment group was treated with high ligation of great saphenous vein plus intracavitary microwave ablation combined with foam sclerotherapy.The operation time, hospitalization time, intraoperative blood loss, postoperative complications, and therapeutic effect were compared between the two groups.Results The combined treatment group showed less operation time, hospitalization time, and intraoperative blood loss than the conventional treatment group (P<0.05).The incidence rate of postoperative complications in the combined treatment group (4.00%) was lower than that in the conventional treatment group (24.00%, P<0.05).The total effective rate in the combined treatment group (98.00%) was higher than that in the conventional treatment group (82.00%, P<0.05).Conclusion High ligation of great saphenous vein plus endovenous microwave ablation combined with foam sclerotherapy is effective in the treatment of varicose veins of lower extremities, with fewer postoperative complications, which is worthy of clinical promotion.

Key words: High saphenous vein ligation, Intracavitary microwave ablation, Foam sclerosing agent, Varicose veins of lower extremities

中图分类号:

R681.5

唐石驹, 刘珍艳, 梁江, 董红平, 郭湃. 大隐静脉高位结扎加微波消融联合泡沫硬化剂对下肢静脉曲张临床研究[J]. 外科研究与新技术, 2019, 8(3): 170-173.

TANG Shiju, LIU Zhenyan, LIANG Jiang, DONG Hongping, GUO Pai. Clinical study on high ligation of great saphenous vein and microwave ablation combined with foam sclerotherapy for varicose veins of lower extremities[J]. Surgical Research and New Technique, 2019, 8(3): 170-173.

参考文献

[1] Yanushko V A, Rogovoy N A, Turliuk D V, et al.Endovenous laser ablation of giacomini vein in surgical treatment of varicose veins of lower extremities[J].Novosti Khirurgii, 2017,25(6):583-588.
[2] 刘凯,马韧石,王蕾,等.下肢静脉曲张微创治疗的研究进展[J].血管与腔内血管外科杂志, 2016,2(2):166-170.
[3] Shadrina A, Tsepilov Y, Smetanina M A, et al.Polymorphisms of genes involved in inflammation and blood vessel development influence the risk of varicose veins[J].Clin Genet, 2018,94(2):191-199.
[4] Yetkin E, Ileri M, Waltenberger J, et al.Ecchymosis: a novel sign in patients with varicose veins[J].Clin Hemorheol Microcirc, 2018,68(4):413-419.
[5] 王皆,钱少圭,白晓光,等.DSA引导下泡沫硬化剂治疗下肢静脉曲张性溃疡疗效评估[J].中国临床医学影像杂志, 2018,29(3):209-211.
[6] 马顺英,何涛,赵霞,等.局部注射泡沫硬化剂治疗下肢静脉血栓症的大样本临床调研[J].血栓与止血学, 2017,23(2):202-204.
[7] Hazama H, Yoshimori M, Honda N, et al.Evaluation of endovenous laser ablation for varicose veins using a computer simulation model (secondary publication)[J].Laser Ther, 2017,26(4):282-287.
[8] Talic G, Talic L, Stevanovic-Papica D, et al.The effect of adolescent idiopathic scoliosis on the occurrence of varicose veins on lower extremities[J].Med Arch, 2017,71(2):107-109.
[9] 朱龙柏.泡沫硬化剂聚桂醇局部注射联合大隐静脉高位结扎及腔内激光闭合术治疗下肢静脉曲张的临床效果观察[J].数理医药学杂志, 2017,30(4):541-542.
[10] 吴中华.大隐静脉高位结扎联合腔内激光闭合治疗下肢静脉曲张疗效分析[J].基层医学论坛, 2016,20(13):1875-1876.
[11] 孙和平,王琛,徐小盛.大隐静脉高位结扎术联合泡沫硬化剂注射治疗下肢静脉曲张的临床疗效探讨[J].中国现代医生, 2017,55(23):51-54.
[12] 梁江,金雄伟,李满志,等.大隐静脉高位结扎加腔内微波消融治疗大隐静脉曲张效果分析[J].齐齐哈尔医学院学报, 2017,38(8):893-895.
[13] 陈奎铭,王小平,王珊珊,等.中医外治法结合微波腔内闭合术治疗下肢静脉曲张伴溃疡[J].中国中西医结合外科杂志, 2017,23(2):128-133.
[14] 吴清华,姜建威,顾琛,等.臭氧气浴联合激光腔内闭塞泡沫硬化杂交手术治疗下肢静脉曲张性溃疡的临床效果分析[J].南通大学学报(医学版), 2017,37(1):24-28.
[15] 钱少圭,陈磊,白晓光,等.大隐静脉腔内激光消融联合泡沫硬化治疗静脉曲张性溃疡[J].中国介入影像与治疗学, 2018,15(2):73-76.
[16] 张云福.静脉腔内激光治疗术治疗下肢静脉曲张的临床效果分析[J].吉林医学, 2017,38(10):1947-1948.
[17] 邵明哲,潘烨,赵珺,等.下肢静脉曲张行腔内激光闭合术联合泡沫硬化剂治疗并发下肢动脉血栓形成[J].临床误诊误治, 2014,27(3):80-82.
[18] 焦亚彬,耿园园,杨奋有,等.聚桂醇泡沫硬化剂注射与腔内电凝治疗下肢静脉曲张的疗效对比[J].中国全科医学, 2016,13(5):589-591.
[19] 贾琪,吴丹明,王成刚,等.彩超引导下聚桂醇泡沫硬化剂注射治疗下肢静脉曲张[J].中国微创外科杂志, 2016,16(3):276-278.
[20] 茅剑强,钱坚革.透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的疗效观察[J].中国生化药物杂志, 2017,37(9):228-229.

大隐静脉高位结扎加微波消融联合泡沫硬化剂对下肢静脉曲张临床研究

Clinical study on high ligation of great saphenous vein and microwave ablation combined with foam sclerotherapy for varicose veins of lower extremities

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics

本文评价