应用新型静脉剥脱导管单次与分次手术治疗双下肢单纯性静脉曲张的疗效对比

New Vein Stripper for Double Lower Limbs Simple Varicosis:Comparison of Single-step and Sub-step Sripping Operation

目的:对比分析应用新型静脉剥脱导管单次与分次手术治疗双下肢单纯性静脉曲张的疗效。方法:采用严格的纳入和排除标准选取我院2007年8月至2010年8月收治的双下肢单纯性静脉曲张患者53例,以接受采用法国Gamida公司新型静脉剥脱导管的大隐静脉高位结扎加剥脱手术次数不同分为两组。单次手术组:(28例)患者一次性接受双侧手术;分次手术组:(25例)患者接受单侧手术,1月后再入院接受对侧手术。结果:分次手术组两次手术时间总和较单次手术组手术时间长(P=0.034),而两组在术中失血量上无明显差异(P=0.550)。两组临床治愈率及出现并发症的几率相当(P>0.05),但分次手术组的住院时间及住院费用均明显高于单次手术组(P<0.001)。结论:应用新型静脉剥脱导管单次手术剥脱双下肢单纯性静脉曲张的疗效与分次手术相当,但在经济方面单次手术显示出明显的优势,值得推广。

Objective： To compare the clinical effects of single-step and sub-step stripping operation using new vein stripper（Gamida Corp.,France） for double lower limbs simple varicosis.Methods： 53 cases of double lower limbs simple varicosis were separat-ed into single-step and sub-step operation groups（sin-group and sub-group for short respectively）.Patients in sin-group were treated with single step stripping operation using new stripper,but those in sub-group were treated twice.Results： The operation time of sub-group is longer than that of sin-group（P = 0.034）.There are much more hospital stay and charges of sub-group versus sin-group（P 0.001）.No obvious difference was found in two groups by blood loss,clinical cure rate and complications（P0.05）.Conclusions： The clinical effects of single-step stripping operation using new vein stripper for double lower limbs simple varicosis are equivalent with those of sub-step stripping operation.While,the single-step stripping operation shows a clear advantage in the economy,which is worth popular-izing.