微创点状剥脱术在大隐静脉曲张疾病治疗中应用.docVIP

微创点状剥脱术在大隐静脉曲张疾病治疗中应用 　　[摘要] 目的 探讨微创点状剥脱术在大隐静脉曲张疾病治疗中的应用及临床效果并和传统术式做对比。方法 大隐静脉曲张病人随机抽取各60例分为两组,分别采用微创点状剥脱术和大隐静脉高位结扎加分段切除术治疗,比较两组病人的手术时间、出血量、住院时间和并发症等。结果 两种手术方式术后均能显著改善病人的症状,点状剥脱组病人术中失血量、手术时间明显少于传统组。结论 微创点状剥脱术治疗大隐静脉曲张,创伤小、瘢痕小、恢复快、愈合美观、操作简单,不需要特殊设备和器械,值得开展和推广。 　　[关键词] 大隐静脉曲张;点式剥脱;微创 　　[中图分类号] R543.6[文献标识码] A[文章编号] 1673-9701(2010)10-111-02 　　 　　Minimally Invasive Point-like Lift-off Varicose Saphenous BeinsTreatment 　　JIN Hui 　　General Surgery,UlanhotCity Hospital,Inner Mongolia,Ulanhot 137400,China 　　 　　[Abstract] Objective To investigate thepoint minimally invasive punctate great saphenous varicose vein stripping the treatment of the application and clinical effects and compare the traditional surgical method. Methods Of treatment of varicose veins of all 60 cases of patients randomLy divided into two groups,namely the use of minimally invasive surgery and saphenous vein high ligation and resection of sub-groups were compared the patients operation time,blood loss,hospital stay and complications were measured. Results The results of two surgical patients can significantly improve the patients symptoms,point-like stripping surgery patients intraoperative blood loss,operative time was significantly superior to the traditional group. Conclusion Minimally invasive punctate great saphenous varicose vein stripping surgery,trauma,scarring,quick recovery,healing beautiful and easy to operate. Does not require special equipment and instruments,it is worth carrying out and promotion. 　　[Key words] Greater saphenous vein varicosity;Point-endarterectom;Icroinvasive 　　目前下肢静脉曲张治疗的主要方法有传统手术治疗、经皮缝扎、瓣膜成形术、硬化剂注射、电凝法、刨吸术[1]、激光腔内治疗和点状剥脱[2],各有其优、缺点,但手术原则基本不变,即阻止浅静脉返流以及曲张静脉的切除或闭塞,以达到去除病因和曲张静脉的目的。我院自2005年7???～2009 年10月对收治的大隐静脉曲张的病人随机抽取各60例分为两组,一组采用微创点状剥脱术治疗(简称点状剥脱组),另一组采用传统方法大隐静脉高位结扎加分段切除术治疗(简称传统组),对其结果进行分析并报道如下。 　　1资料与方法 　　1.1一般资料 　　两组共120 例,其中男68 例、女52例;年龄18～70岁,平均45.2岁;病程3～45年,平均18 年。临床表现均有小腿或大腿内侧浅静脉迂曲扩张或曲张成团症状,56 例无其他伴随症状,64 例有不同程度的下肢行走或长时间站立后酸胀或沉重感,其中伴有小腿溃疡15 条肢体、合并血栓性静