腔镜超声刀交通静脉离断术治疗下肢静脉溃疡的手术配合及护理效果观察

Operation cooperation and nursing caring effect of endoscopic ultrasound knife traffic vein devascularization on patients with lower limbs venous ulcer

目的对下肢静脉溃疡患者实施腔镜超声刀交通静脉离断术治疗,观察对患者手术时间、术后恢复情况及术后并发症的影响。方法将在我院就诊的120例腹部手术患者随机分为两组,各60例。对照组施以传统手术治疗,观察组施以腔镜超声刀交通静脉离断术治疗,以患者手术时间、术后恢复情况及术后并发症为评价指标,评价腔镜超声刀交通静脉离断术与常规手术治疗的效果。结果观察组手术时间、伤口恢复时间、住院天数分别为(1.9±0.2)h、(10.8±0.9)d、(7.2±0.8)d,对照组手术时间、伤口恢复时间、住院天数分别为(2.8±0.4)h、(15.3±1.6)d、(11.7±1.3)d,观察组和对照组比较,差异具有统计学意义(P<0.05);术后观察组患者和对照组患者并发症发生率分别为38.33%(23/60)和10.00%(6/60),观察组并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论腔镜超声刀交通静脉离断术治疗下肢静脉溃疡,可缩短手术时间、改善术后恢复情况、缩短住院天数,同时明显减少术后并发症,有利于改善患者生存质量,值得推广。

Objective Though the methods of endoscopic ultrasound knife traffic vein devascularization on the lower extremity venous ulcer to observe its influence on operation time, postoperative recovery and postoperative complications in patients. Methods One-hundred and twenty patients with abdominal surgery in our hospital were selected and randomly divided into two groups, 60 cases in each group, the patients in control group were treated with traditional surgery treatment, the patients in observation group were given the method of endoscopic ultrasound knife vein devascularization surgery. After treatment, the operation time, postoperative recovery, postoperative complications were observed and evaluated between endoscopic ultrasound knife traffic vein and conventional surgery treatment. Results The operation time, recovery time and hospital stays time in observation group were respectively （1.9±0.2） h, （10.8±0.9） d and （7.2±0.8） d, which were significantly less than （2.8±0.4）h, （15.3±1.6）d and （11.7±1.3）d in control group, the results between two group showed statistically significance （P〈0.05）; the rate of postoperative complication in observation group was 38.33% （23/60） , which was obviously lower than 10% （6/60） in control group, the difference showed statistical significance （P〈0.05）. Conclusion Endoscopic ultrasound knife traffic vein devascularization therapy can helpful to shorten the operation time, improve the postoperative recovery rate, reduce the length of hospital stays and the postoperative complications, promote the recovery, and improve the patients＂ quality of life, which is worthy of promotion.