局麻Veno Merse手术减少大隐静脉术中损伤

The reduction of injury to venous intima of great saphenous vein by Veno Merse operation

前瞻性分析局麻Veno Merse手术、传统抽剥术和大隐静脉激光腔内闭合术治疗大隐静脉曲张的效果。与传统抽剥术和EVLT治疗相比,Veno Merse术日疼痛评分、术日及出院自理能力、术后切口数、术后第1天D-二聚体、术后皮肤并发症、隐神经损伤、术后住院时间及费用等术后指标差异有统计学意义(P<0.05),且静脉内膜损伤程度低。局麻Veno Merse手术不仅创伤小、疼痛轻、术后并发症少,而且对静脉内膜损伤小,易于开展。

The effects of Veno Merse operation,traditional stripping and EVLT under local anesthesia in the treatments of varicose great saphenous vein were analyzed prospectively.Compared with the other two groups,there were significant differences in veno Merse postoperative pain score,postoperative and discharge self-care ability,postoperative incision number,D-dimer on the first day after operation,postoperative skin complications,saphenous nerve injury,postoperative hospital stay and cost(P<0.05),and the degree of venous intimal injury was low.Veno Merse operation under local anesthesia has not only less trauma,less pain,less postoperative complications but also less damage to venous intima,which is easy to carry out.