首页|透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的疗效观察

透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的疗效观察

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目的 研究分析透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的疗效观察.方法 选取本院2015年2月~2017年5月收治的90例下肢静脉曲张的患者为研究对象,随机分为对照组和实验组,每组患者各为45例.对照组患者给予传统的大隐静脉高位结扎并抽剥手术,实验组患者给予透视引导下聚桂醇泡沫硬化剂治疗.比较分析2组患者的治疗效果.结果 手术后,实验组患者中,2例患者复发,复发率为4.4%.对照组患者中,6例患者复发.可得,对照组患者复发率(13.3%)显著高于实验组,差异具有统计学意义(P<0.05).经过对应的治疗后,实验组患者的术中出血量为(10.23±1.52)mL,对照组患者术中出血量为(32.19±2.34)mL.可得,实验组患者术中出血量显著少于对照组,差异具有统计学意义(P<0.05).另外,实验组患者的平均住院时间以及手术时间和切开长度等指标均显著优于对照组,差异具有统计学意义(P<0.05).结论 透视引导下聚桂醇泡沫硬化剂治疗下肢静脉曲张的临床效果较好,复发率较低,能够显著降低术中出血量,缩短手术时间,具有临床推广的意义.
Observation of curative effect of treatment of varicose veins of lower extremity with polyurethane foam sclerosing agent under fluoroscopic guidance
Objective To investigate and analyze the effect of polyurethane foam sclerotherapy on varicose veins of lower extremity under the guidance of fluoroscopy. Methods 90 patients with varicose veins treated in our hospital from February 2015 to May 2017 were selected and randomly divided into the control group and the experimental group, with 45 patients in each group. The patients in the control group were given conventional high ligation and stripping of the great saphenous vein. The patients in the experimental group were treated with fluoroscopic guided polyurethane foam sclerotherapy. The therapeutic effects of the 2 groups were compared and analyzed. Results After operation, 2 patients relapsed in the experimental group, and the recurrence rate was 4.4%. In the control group, 6 patients relapsed. The recurrence rate (13.3%) in the control group was significantly higher than that in the experimental group, with statistical difference. After the corresponding treatment, the intraoperative blood loss in the experimental group was (10.23±1.52) mL, and the bleeding volume in the control group was (32.19±2.34) mL. The bleeding volume in the experimental group was significantly less than that in the control group, with statistical difference. In addition, the average length of stay, length of operation and length of incision in the experimental group were significantly better than those in the control group, with statistical difference. Conclusion The clinical effect of fluoroscopy guided lauromacrogol foam sclerosing agent in the treatment of varicose vein of lower limb is better, the recurrence rate is low, can significantly reduce the amount of bleeding, shorten operation time, has clinical significance.

fluoroscopic guidancepolyol foam sclerotherapyvaricose veins of lower extremitytreatment outcome

茅剑强、钱坚革

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浙江省桐乡市皮肤病防治院 皮肤外科,浙江 桐乡 314500

浙江省立同德医院 整形外科,浙江 杭州 310012

透视引导 聚桂醇泡沫硬化剂 下肢静脉曲张 治疗效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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