首页|大隐静脉高位结扎联合泡沫硬化剂注射治疗大隐静脉曲张患者的效果

大隐静脉高位结扎联合泡沫硬化剂注射治疗大隐静脉曲张患者的效果

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目的:观察大隐静脉高位结扎联合泡沫硬化剂注射治疗大隐静脉曲张患者的效果.方法:选取2021年2月至2023年1月濮阳市人民医院介入科收治的 91 例大隐静脉曲张患者进行前瞻性研究,按照随机数字表法分为研究组 46 例与对照组 45 例.对照组行大隐静脉高位结扎联合剥脱术治疗,研究组行大隐静脉高位结扎联合泡沫硬化剂注射治疗,比较两组临床疗效、术中出血量、首次下床活动时间、手术时间、住院时间和并发症发生率.结果:研究组治疗总有效率为 93.48%,明显高于对照组的 77.78%,差异有统计学意义(P<0.05);研究组首次下床活动时间、手术时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为 2.17%,明显低于对照组的 17.78%,差异有统计学意义(P<0.05).结论:大隐静脉高位结扎联合泡沫硬化剂注射治疗大隐静脉曲张患者可提高治疗总有效率,缩短首次下床活动时间、手术时间和住院时间,减少术中出血量,以及降低术后并发症发生率,效果优于大隐静脉高位结扎联合剥脱术治疗.
Effects of high ligation of great saphenous vein combined with injection of foam sclerosing agent in treatment of patients with varicose great saphenous veins
Objective:To observe effects of high ligation of great saphenous vein combined with injection of foam sclerosing agent in treatment of patients with varicose great saphenous veins.Methods:A prospective study was conducted on 91 patients with varicose great saphenous veins admitted to the Interventional Department of Puyang People's Hospital from February 2021 to January 2023.According to the random number table method,they were divided into study group(46 cases)and control group(45 cases).The control group was treated with high ligation of great saphenous vein combined with stripping,while the study group was treated with high ligation of great saphenous vein combined with injection of foam sclerosing agent.The clinical efficacy,the intraoperative blood loss,the first ambulation time,the operation time,the hospitalization time,and the incidence of complications were compared between the two groups.Results:The total effective rate of the study group was 93.48%,which was significantly higher than 77.78%of the control group,and the difference was statistically significant(P<0.05).The first ambulation time,the operation time and the hospitalization time in the study group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 2.17%,which was significantly lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusions:High ligation of great saphenous vein combined with injection of foam sclerosing agent in the treatment of the patients with varicose great saphenous veins can improve the total effective rate of treatment,shorten the first ambulation time,the operation time and the hospitalization time,and reduce the intraoperative blood loss and the incidence of postoperative complications.Moreover,it is superior to high ligation of the great saphenous vein combined with stripping.

High ligation of great saphenous veinInjection of foam sclerosing agentVaricose great saphenous veinComplication

刘存伟、王东林、刘博

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清丰第一医院微创介入血管外科,河南 濮阳 457300

濮阳市人民医院介入科,河南 濮阳 457000

大隐静脉高位结扎 泡沫硬化剂 大隐静脉曲张 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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