[1]邓德武,范忠棋.大隐静脉高位结扎联合腔内半导体激光治疗下肢静脉曲张的临床疗效[J].医学信息,2019,32(20):105-107.[doi:10.3969/j.issn.1006-1959.2019.20.030]
　DENG De-wu,FAN Zhong-qi.Clinical Efficacy of High Saphenous Vein Ligation Combined with Intracavitary Semiconductor Laser in the Treatment of Varicose Veins of Lower Extremities[J].Journal of Medical Information,2019,32(20):105-107.[doi:10.3969/j.issn.1006-1959.2019.20.030]
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大隐静脉高位结扎联合腔内半导体激光治疗下肢静脉曲张的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年20期
页码:
105-107
栏目:
临床研究
出版日期:
2019-10-15

文章信息/Info

Title:
Clinical Efficacy of High Saphenous Vein Ligation Combined with Intracavitary Semiconductor Laser in the Treatment of Varicose Veins of Lower Extremities
文章编号:
1006-1959（2019）20-0105-03
作者:
邓德武; 范忠棋
（永修县中医院普外科，江西 永修 330300）
Author(s):
DENG De-wu; FAN Zhong-qi
(Department of General Surgery,Yongxiu County Traditional Chinese Medicine Hospital,Yongxiu 330300,Jiangxi,China)
关键词:
大隐静脉高位结扎; 腔内半导体激光; 下肢静脉曲张
Keywords:
High saphenous vein ligation; Intracavity semiconductor laser; Lower extremity varicose veins
分类号:
R543.6
DOI:
10.3969/j.issn.1006-1959.2019.20.030
文献标志码:
A
摘要:
目的 探讨大隐静脉高位结扎联合腔内半导体激光治疗下肢静脉曲张的临床疗效。方法 选取2016年9月~2018年3月我院收治的下肢静脉曲张患者100例，采用随机数字表法分成对照组与观察组，每组50例。对照组给予大隐静脉高位结扎术治疗，观察组在对照组基础上联合腔内半导体激光治疗，比较两组临床疗效、下肢症状体征改善情况及手术相关指标。结果 观察组总有效率为96.00%，高于对照组的82.00%，差异有统计学意义（P＜0.05）。治疗后观察组酸胀、疼痛、水肿、色素沉着、皮炎、溃疡改善情况优于对照组，差异有统计学意义（P＜0.05）。观察组手术时间长于对照组[（85.14±8.32）min vs（62.62±8.37）min]，差异有统计学意义（P＜0.05）；两组术中出血量及疼痛评分比较，差异无统计学意义（P＞0.05）。结论 大隐静脉高位结扎联合腔内半导体激光治疗下肢静脉曲张可有效改善患者下肢症状体征，不增加术后疼痛程度，具有良好的治疗效果。
Abstract:
Objective To investigate the clinical efficacy of high saphenous vein ligation combined with intracavitary semiconductor laser in the treatment of varicose veins of lower extremities.Methods A total of 100 patients with varicose veins of the lower extremities admitted to our hospital from September 2016 to March 2018 were enrolled. The patients were divided into the control group and the observation group by random number table, 50 cases in each group. The control group was treated with high saphenous vein ligation. The observation group was combined with intracavitary semiconductor laser treatment on the basis of the control group. The clinical efficacy, improvement of lower limb symptoms and signs and surgical related indexes were compared between the two groups.Results The total effective rate of the observation group was 96.00%, which was higher than 82.00% of the control group,the difference was statistically significant (P<0.05). After treatment, the improvement of soreness, pain, edema, pigmentation, dermatitis and ulcer in the observation group was better than that in the control group,the difference was statistically significant (P<0.05). The operation time of the observation group was longer than that of the control group [(85.14±8.32) min vs (62.62±8.37) min], the difference was statistically significant (P<0.05). There was no significant difference in the intraoperative blood loss and pain score between the two groups. (P>0.05). Conclusion High saphenous vein ligation combined with intracavitary semiconductor laser treatment of lower extremity varicose veins can effectively improve the symptoms and symptoms of lower limbs without increasing postoperative pain and have a good therapeutic effect.

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更新日期/Last Update: 2019-10-15