高位结扎联合腔内激光治疗大隐静脉曲张与传统手术治疗的对比研究

Comparison research of endovenous laser combined with high ligation and traditional operation in treatment of great saphenous vein varicose

目的探讨高位结扎联合腔内激光治疗与传统手术治疗大隐静脉曲张的临床效果。方法156例大隐静脉曲张患者应用随机数字表法分为观察组（高位结扎联合腔内激光治疗）和对照组（传统手术治疗），每组78例，比较两组术后恢复情况及并发症。结果观察组手术时间、术中出血量及术后患肢血肿发生率均明显低于对照组[（42±5）min比（64±8）min、（30±8）ml比（50±5）ml、5．13％（4／78）比11．54％（9／78），P〈0．05]，两组症状改善率和隐神经损伤发生率比较差异无统计学意义（p〉0．05）。两组患者术后随访1年均无患肢深静脉血栓形成和大隐静脉再通。结论高位结扎联合腔内激光治疗大隐静脉曲张与传统手术治疗临床疗效相当，但其手术时间短、术中出血少、术后并发症少。

Objective To investigate the efficacy of endovenous laser combined with high ligation and traditional operation in treatment of great saphenous vein varicose. Methods One hundred and fifty-six cases of great saphenous vein varicose were divided into endovenous laser combined with high ligation （observation group, 78 cases ） and traditional operation （control group, 78 cases ） by table of random digits. The incidence of postoperative recovery and complications between two groups were compared. Result The operation time, amount of bleeding in operation, incidence of affected limb hematoma in observation group were significantly lower than those in control group [ （42 ± 5 ） min vs. （64 ± 8 ） rain, （ 30 ± 8 ） ml vs. （ 50 ± 5） ml,5.13%（4/78） vs. 11.54%（9/78）,P〈 0.05]. There was no significant difference between two groups of the postoperative recovery incidence and saphenous nerve injury incidence （P 〉 0.05 ）. There was no affected limb deep venous thrombosis and great saphenous vein reeanalization 1 year after operation. Conclusion Compared with the traditional operation, endovenous laser combined with high ligation has the same clinical efficacy, but less operation time, less amount of bleeding in operation, and less complication.