点式内翻剥脱术与传统手术治疗大隐静脉曲张疗效比较

Evaluation of curative effect between minimally invasive point inversion stripping and the traditional treatment of saphenous vein

目的 比较微创点式内翻大隐静脉剥脱术与传统手术治疗下肢静脉曲张的疗效.方法 将下肢静脉曲张患者106例简单随机化分为A、B两组,A组采微创点式内翻大隐静脉剥脱术,B组行传统下肢静脉抽剥手术,对术后结果进行比较评估.结果 A组出血量（15.3±5.4）mL,手术时间（58.9±14.3）min,住院时间（4.8±1.3）d,手术费用（5 124.5±524.7）元,均明显低于B组[分别为（65.4±25.1）mL、（72.5±18.6）min、（6.8±2.4）d和（6179.6±623.8）元]（P=0.023、0.035、0.019、0.027）.结论 微创点式内翻大隐静脉剥脱术创伤小,操作简单,而且术后并发症少,恢复快,而在住院时间和住院费用上明显优于传统手术.

Objective To compare the treatment effects of minimally invasive exfoliation＇s point of varicose veins pump-stripping surgery and traditional treatment of varicose veins of lower extremity surgery.Methods 106 cases with lower extremity varicose veins were simple randomly divided into A,B groups.A team exfoliation new minimally invasive devices for minimally invasive varicose veins stripping point-pumping operation,B group is the traditional line of lower extremity venous stripping pump surgery,after the results of comparative assessment.Results Hemorrhage （15.3 ± 5.4） mL,operation time （58.9 ± 14.3） min,hospitalization time （4.8 ± 1.3） d and operation cost （5124.5 ± 524.7） yuan of group A were lower than those of group B [（65.4 ± 25.1） mL,（72.5 ± 18.6） min,（6.8 ±2.4） D and （6 179.6 ± 623.8） yuan] （P =0.023,0.035,0.019,0.027）.Conclusion The minimally nvasive exfoliation＇s saphenous vein high ligation stripping point-pumping operation not only small wounds,easy to operate,and less post-operative complications and rapid recovery,and on the cost of hospitalization is superior to traditional surgery.