腔内激光联合高位结扎治疗大隐静脉曲张临床疗效分析

Investigation of endovenous laser combined with high ligation therapy in treatment of varicose great saphenous vein

目的探讨腔内激光联合高位结扎治疗大隐静脉曲张的临床疗效。方法选择2009年12月～2011年12月在本院普外科住院治疗的128例大隐静脉曲张患者为研究对象,随机分为高位结扎抽剥术组(对照组)和腔内激光联合高位结扎组(观察组),分别给予相应的治疗,评价对照组和观察组患者的临床疗效及不良反应发生情况。结果腔内激光联合高位结扎组患者手术时间、住院费用、住院天数明显少于高位结扎抽剥术组患者,差异有统计学意义(P<0.05),而两组不良反应发生情况差异无统计学意义(P>0.05)。结论腔内激光联合高位结扎治疗大隐静脉曲张临床疗效确切,创伤小且安全可靠。

Objective To investigate the clinical efficacy of endovenous laser combined with high ligation therapy in treat- ment of varicose great saphenous vein. Methods Clinical data of one hundred and twenty-eight patients with the varicose great saphenous vein who were treated in the department of general surgery in our hospital from December 2009 to Decem- ber 2011 were collected, then divided into control group and observation group by using a random number table, patients in the control group were given high ligation and stripping operation, while patients in the observation group were given en- dovenous laser combined with high ligation, the clinical efficacy and the occurrence of adverse reactions of each group was evaluated. Results The operation time, cost of hospitalization and the admission day of observation group was less than the control group （P 〈 0.05）, and difference of the occurrence of adverse reactions between two groups was not significant（P 〉 0.05）. Conclusion The endovenous laser combined with high ligation obtains satisfactory curative effect for the varicose great saphenous vein patients, and it is safe and reliable.