中国医学创新2024,Vol.21Issue(3) :31-35.DOI:10.3969/j.issn.1674-4985.2024.03.008

基于血流动力学纠正的下肢静脉高位结扎术的研究

Study on High Ligation of Lower Limb Veins Based on Hemodynamic Correction

甄杰生 蔡世少 刘尧沛
中国医学创新2024,Vol.21Issue(3) :31-35.DOI:10.3969/j.issn.1674-4985.2024.03.008

基于血流动力学纠正的下肢静脉高位结扎术的研究

Study on High Ligation of Lower Limb Veins Based on Hemodynamic Correction

甄杰生 1蔡世少 2刘尧沛1
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作者信息

  • 1. 台山市人民医院肝胆甲状腺乳腺血管外科 广东 台山 529200
  • 2. 台山市人民医院血透中心 广东 台山 529200
  • 折叠

摘要

目的:探讨基于血流动力学纠正的下肢静脉高位结扎术.方法:选择2021年3月—2022年8 月台山市人民医院收治的下肢静脉曲张患者 62 例,以随机方式分为两组,对照组行传统高位结扎+抽剥术治疗,研究组行基于血流动力学纠正的下肢静脉高位结扎术治疗.比较两组住院时间、术中出血量、复发率情况、术后疼痛程度及并发症情况.结果:研究组住院时间短于对照组,术中出血量少于对照组、复发率低于对照组,差异均有统计学意义(P<0.05).相较于对照组,研究组轻度疼痛百分比更高,重度疼痛百分比更低,差异均有统计学意义(P<0.05).研究组术后静脉炎、深静脉损伤、隐神经损伤、皮肤瘀斑、切口感染、感觉缺失、血栓形成合计并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:与传统高位结扎+抽剥术治疗相比,下肢静脉曲张患者使用基于血流动力学纠正的下肢静脉高位结扎术治疗,术后疼痛程度更低,术后并发症发生率、疾病复发率均更低,促进患者术后快速康复,患者曲张的静脉得到有效恢复,基于血流动力学纠正的下肢静脉高位结扎术治疗效果显著.

Abstract

Objective:To investigate high ligation of lower limb veins based on hemodynamic correction.Method:A total of 62 patients with lower limb varicose veins admitted to Taishan People's Hospital from March 2021 to August 2022 were selected,randomly divided into two groups,the control group was treated with traditional high ligation + extraction,and the study group was treated with high ligation of lower limb veins based on hemodynamic correction.The hospital stay,intraoperative bleeding volume,recurrence rate,the degree of postoperative pain and complications were compared between the two groups.Result:The hospital stay of the study group was shorter than that of the control group,and the intraoperative bleeding volume was less than that of the control group,the recurrence rate was lower than that of the control group,the differences were statistically significant(P<0.05).Compared with the control group,the percentage of mild pain in the study group was higher,and the percentage of severe pain was lower,the differences were statistically significant(P<0.05).The total incidence of postoperative complications such as phlebitis,deep vein injury,saphenous nerve injury,skin ecchymosis,incision infection,anesthesia and thrombosis in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with traditional high ligation + extraction and exudation,high ligation of lower limb veins based on hemodynamic correction in patients with lower extremity varicose vein treatment has lower postoperative pain,lower incidence of postoperative complication and lower disease recurrence rate,which promotes rapid postoperative recovery of patients and effective recovery of varicose veins,the effect of high ligation of lower extremity vein based on hemodynamic correction is remarkable.

关键词

下肢静脉曲张/血流动力学/下肢静脉高位结扎术/并发症/大隐静脉

Key words

Lower limb varicose veins/Hemodynamics/High ligation of lower limb veins/Complications/Great saphenous vein

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基金项目

江门市科技计划项目(江科[2021]59-2021YL09005)

出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
参考文献量16
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