点状剥脱术与传统手术治疗大隐静脉曲张的对比研究

Application of Pointed Phlebectomy for Great Saphenous Vein Varicosis

目的评价高位结扎加点状剥脱术治疗大隐静脉曲张的疗效。方法 42条静脉曲张肢体采用大隐静脉高位结扎和将肢体驱血后于大腿上部扎止血带行曲张静脉点状剥脱术;术后常规予弹力绷带加压包扎。记录手术时间、术中出血量、术后肢体肿胀情况、皮下血肿发生情况及肢体活动和皮肤感觉障碍情况。结果手术时间(36±14min)、术中出血量(37±11ml)及皮肤感觉障碍例数(3例)。结论应用止血带在大隐静脉手术中可创造"无血手术野",缩短手术时间和减少术中出血量,减少创伤面积,降低皮肤感觉障碍并发症的发生。应用驱血点状剥脱是一种值得推广的简便、经济、实用的方法。

Objective To investigate the value of pointed phlebectomy in the therapy of great saphenous vein varicosis.Methods Totally 42 lower limbs with great saphenous vein varicosis were received pointed phlebectomy with flush ligation after stopping the femoral blood with tourniquet,and great saphenous vein flush ligation without tourniquet.Record the operation time,blood loss in the procedure,limb edema,ecchymoma and sensory disorder post the operation.Results Pointed phlebectomy’s operation time,blood loss volume,sensory disorder cases were（36±14）min,（37±11）ml,3 cases.Conclusion Pointed phlebectomy with tourniquet,which is simple economical and practical,can create surgical region without blood loss,significantly decrease the operation time and lower the incidence of skin sensory disorder.