不同术式治疗大隐静脉曲张近期临床疗效比较

Comparison of the clinical effect of different treatment methods for the patients with great saphenous vein varicosity

目的：比较两种手术方式治疗大隐静脉曲张的临床效果。方法选择大隐静脉曲张患者140例采取随机数字表法分为观察组和对照组，每组各70例，对照组给予传统剥脱手术治疗，观察组采取高位结扎手术联合血管腔内激光治疗，比较两组疗效。结果观察组手术时间、术中出血量、术后住院时间、术后复发率分别为（51．32±4．97）min、（40．03±9．67）mL、（6．77±1．14）d、4．29％；对照组分别为（72．45±8．79）min、（108．68±17．75）mL、（11．69±2．68）d、20．00％，两组差异均有统计学意义（t ＝17．507、28．415、14．134，χ2＝8．101，均 P ＜0．05）。观察组术后并发症发生率为4．29％，对照组为14．29％，两组差异有统计学意义（χ2＝4．155，P ＜0．05）。观察组干预后疼痛、生活质量评分分别为（1．46±0．54）分、（90．04±9．77）分，对照组分别为（2．67±1．15）分、（78．61±6．82）分，两组差异均有统计学意义（t ＝7．968、8．026，均 P ＜0．05）。结论高位结扎手术联合血管腔内激光治疗大隐静脉曲张在手术时间、术中出血和住院时间以及并发症发生率均优于传统手术方式，能够有效减轻患者疼痛，提高生活质量。

Objective To compare the clinical effect of different treatment methods for the patients with great saphenous vein varicosity.Methods 140 patients with great saphenous varicose veins were selected,and according to random number table method they were divided into observation group and control group,70 cases in each group.The control group was given conventional stripped surgery,the observation group adopted high ligation joint int-racavitary laser treatment.The clinical effects of the two groups were compared.Results The operating time,intraop-erative blood loss,postoperative length of hospital stay,postoperative recurrence rate of the observation group were （51.32 ±4.97）min,（40.03 ±9.67）mL,（6.77 ±1.14）days,4.29%,respectively,which of the control group were （72.45 ±8.79）min,（108.68 ±17.75）mL,（11.69 ±2.68）days,20.00%,there were statistically significant differ-ences between the two groups（t =17.507,28.415,14.134,χ2 =8.101,all P 〈0.05）.The incidence rate of postop-erative complications of the observation group was 4.29%,which of the control group was 14.29%,there was statisti-cally significant difference between the two groups（χ2 =4.155,P 〈0.05）.The intervention pain score,the quality of＆amp;nbsp;life score of the observation group were （1.46 ±0.54）points,（90.04 ±9.77）points,which of the control group were （2.67 ±1.15）points,（78.61 ±6.82）points,there were statistically significant differences between the two groups （t =7.968,8.026,all P 〈0.05）.Conclusion High ligation joint intracavitary laser in the treatment of great saphe-nous varicose veins is superior to the traditional operation method in operation time,intraoperative hemorrhage,length of hospital stay,and complications,and it can effectively relieve patients＇;pain and improve the quality of life.