大隐静脉曲张手术中微创点状剥脱术应用体会

The application experience of minimally invasive point-like in great saphenous varicose

目的:探讨大隐静脉曲张疾病手术治疗中小切口点状剥脱术的应用效果。方法:78例患者随机分为观察组(微创点状剥脱术组)39例、对照组(高位结扎加分段切除术组)39例,比较两组患者的手术时间、术中出血量、并发症、住院时间、患者满意率及治疗前后的VCSS评分。结果:观察组手术时间及住院时间均短于对照组,术中出血量、并发症低于对照组,患者满意率高于对照组,VCSS评分优于对照组,差异有显著性(P<0.05或P<0.0l)。结论:微创点状剥脱术在治疗大隐静脉曲张疾病效果明显,值得推广。

Objective： To study the application experience of minimally invasive point-like in great saphenous varicose.Methods： Seventy-eight patients with great saphenous varicose were randomly divided into observation group （minimally invasive point-endarterectomy group）39 cases and control group （high ligation and section resection group） 39 cases,then the operation time,bleeding volume,hospital stay, complication rate,patients satisfaction and VCSS score before and after the treatment were analyzed and compared.Results： The operation time and hospital stay of observation group were shorter than those of control group, bleeding volume and complication rate were lower than those of control group, patients satisfaction was higher than that of control group, VCSS score was both better than that of control group, there were significant diferenees （P〈0.05 or P〈0.01）. Conclusion： Minimally invasive point-like in great saphenous varicose is better, and advantage is more, which is worthy of popularization.