微创与传统治疗下肢静脉曲张的效果比较(1)
[摘要] 目的 探讨微创与传统手术治疗下肢静脉曲张的效果。 方法 选取2009年3月～2016年3月广东省中医院微创外科收治的189例下肢静脉曲张病例为研究对象，根据不同术式分为两组，其中微创手术治疗组(微创组)85例，传统手术治疗组(传统组)104例。比较两组患者的手术时间、术中出血量、术后住院时间、住院费用、术后并发症发生率。 结果 189例患者手术均获得成功。微创组的手术时间、术后住院时间均短于传统组，术中出血量少于传统组，差异有统计学意义(P < 0.05)。两组患者的住院费用、术后并发症发生率差异无统计学意义(P > 0.05)。 结论 微创手术治疗下肢静脉曲张能缩短手术时间和住院时间，创伤小，安全性较高。
[关键词] 下肢静脉曲张；微创治疗；传统手术；疗效
[中图分类号] R654 [文献标识码] A [文章编号] 1673-7210(2018)09(b)-0103-04
[Abstract] Objective To compare the effect between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities. Methods A total of 189 patients with varicose veins of the lower extremities treated in Department of Minimally Invasive Surgery， Guangdong Province Traditional Chinese Medical Hospital from March 2009 to March 2016 were selected as study subjects and they were divided into two groups according to different operation methods. There were 85 cases in minimally invasive surgical treatment group (minimally invasive group) and 104 cases in traditional surgery treatment (traditional group). Operation time， the amount of bleeding during operation， postoperative hospitalization time， the hospitalization cost and the incidence of complications were compared between the two groups. Results All of the 189 cases were operated successfully. The operation time and postoperative hospitalization time of the minimally invasive group were shorter than those of the traditional group， and the amount of bleeding during operation was less than that of the traditional group (P < 0.05). There was no significant difference in the hospitalization cost and postoperative incidence of complications between the two groups (P > 0.05). Conclusion Minimally invasive surgery in the treatment of varicose veins of the lower extremities can shorten operation and hospitalization time， and the surgical trauma is little and the security is high.
[Key words] Varicose veins of the lower extremities； Minimally invasive treatment； Traditional surgery； Curative effect
下肢靜脉曲张性疾病是外科的多发病，表现为下肢浅静脉的迂曲扩张，外观状如“蚯蚓”，随着病情的进展可出现小腿肿胀、慢性湿疹、经久不愈的慢性溃疡，甚至曲张静脉破裂出血。传统的大隐静脉高位结扎加剥脱术的疗效确切，但创伤较大，伴随医疗技术的进步，出现多种微创治疗方法，目前主要包括腔内激光闭合(EVLT)及射频消融、Trivex旋切、泡沫硬化剂注射等，各有其优缺点。因此，本研究对微创与传统手术治疗下肢静脉曲张的效果进行探讨，现将结果报道如下：
1 资料与方法
1.1 一般资料
选取2009年3月～2016年3月广东省中医院微创外科收治的189例下肢静脉曲张患者，按照不同术式分为微创组、传统组。微创组85例，其中男35例，女50例；年龄19～83岁，平均(55.7±14.2)岁；单侧下肢66例，双下肢19例，共计患肢104条；CEAP分级[1]：C0级15例，C1级14例，C2级10例，C3级12例，C4级11例，C5级9例，C6级14例。传统组104例，男50例，女54例；年龄30～87岁，平均(57.2±10.3)岁；单侧下肢83例，双下肢21例，共计患肢125条；CEAP分级[2]：C0级18例，C1级16例，C2级11例，C3级13例，C4级15例，C5级12例，C6级19例。两组患者在性别、年龄、CEAP分级等方面差异无统计学意义(P > 0.05)，具有可比性。本研究经医院医学伦理委员会批准。, 百拇医药(庞凤舜 黄烈城 蔡北源 陈经宝 张晓波 秦有)
[关键词] 下肢静脉曲张；微创治疗；传统手术；疗效
[中图分类号] R654 [文献标识码] A [文章编号] 1673-7210(2018)09(b)-0103-04
[Abstract] Objective To compare the effect between minimally invasive and traditional surgery in the treatment of varicose veins of the lower extremities. Methods A total of 189 patients with varicose veins of the lower extremities treated in Department of Minimally Invasive Surgery， Guangdong Province Traditional Chinese Medical Hospital from March 2009 to March 2016 were selected as study subjects and they were divided into two groups according to different operation methods. There were 85 cases in minimally invasive surgical treatment group (minimally invasive group) and 104 cases in traditional surgery treatment (traditional group). Operation time， the amount of bleeding during operation， postoperative hospitalization time， the hospitalization cost and the incidence of complications were compared between the two groups. Results All of the 189 cases were operated successfully. The operation time and postoperative hospitalization time of the minimally invasive group were shorter than those of the traditional group， and the amount of bleeding during operation was less than that of the traditional group (P < 0.05). There was no significant difference in the hospitalization cost and postoperative incidence of complications between the two groups (P > 0.05). Conclusion Minimally invasive surgery in the treatment of varicose veins of the lower extremities can shorten operation and hospitalization time， and the surgical trauma is little and the security is high.
[Key words] Varicose veins of the lower extremities； Minimally invasive treatment； Traditional surgery； Curative effect
下肢靜脉曲张性疾病是外科的多发病，表现为下肢浅静脉的迂曲扩张，外观状如“蚯蚓”，随着病情的进展可出现小腿肿胀、慢性湿疹、经久不愈的慢性溃疡，甚至曲张静脉破裂出血。传统的大隐静脉高位结扎加剥脱术的疗效确切，但创伤较大，伴随医疗技术的进步，出现多种微创治疗方法，目前主要包括腔内激光闭合(EVLT)及射频消融、Trivex旋切、泡沫硬化剂注射等，各有其优缺点。因此，本研究对微创与传统手术治疗下肢静脉曲张的效果进行探讨，现将结果报道如下：
1 资料与方法
1.1 一般资料
选取2009年3月～2016年3月广东省中医院微创外科收治的189例下肢静脉曲张患者，按照不同术式分为微创组、传统组。微创组85例，其中男35例，女50例；年龄19～83岁，平均(55.7±14.2)岁；单侧下肢66例，双下肢19例，共计患肢104条；CEAP分级[1]：C0级15例，C1级14例，C2级10例，C3级12例，C4级11例，C5级9例，C6级14例。传统组104例，男50例，女54例；年龄30～87岁，平均(57.2±10.3)岁；单侧下肢83例，双下肢21例，共计患肢125条；CEAP分级[2]：C0级18例，C1级16例，C2级11例，C3级13例，C4级15例，C5级12例，C6级19例。两组患者在性别、年龄、CEAP分级等方面差异无统计学意义(P > 0.05)，具有可比性。本研究经医院医学伦理委员会批准。, 百拇医药(庞凤舜 黄烈城 蔡北源 陈经宝 张晓波 秦有)