【摘要】目的分析TriVex透光旋切术与传统手术方法治疗下肢静脉曲张的疗效。方法A组为122例单下肢静脉曲张患者(122条患肢)，接受TriVex透光旋切术，B组为80例单下肢静脉曲张患者(80条患肢)，接受传統手术方法即大隐静脉高位结扎分段抽剥术。比较2组病例的住院日数、切口总长度、皮下血肿发生率、皮下硬结发生率、感觉麻木发生率、复发率等指标。结果A组住院日数少、切口总长度小、皮下硬结发生率低、复发率低，组间比较差异有统计学意义(P<005)。随访128(6～15)个月，A组无复发病例，B组复发6例(75%)。2组皮下血肿发生率、感觉麻木发生率比较差异无统计学意义(P均>005)。结论TriVex透光旋切术治疗下肢静脉曲张疗效显著，较传统方法恢复快、切口小、并发症少、复发率低。

    【关键词】下肢静脉曲张；TriVex；高位结扎抽剥

    【Abstract】ObjectiveTo evaluate the clinical efficacy of Trivexbased transilluminated powered phlebectomy (TIPP) versus traditional surgery in the treatment of lower limb varicose veins MethodsA total of 122 patients with unilateral lower limb varicose veins (122 affected limbs) undergoing Trivexbased TIPP were assigned into group A ......