改良曲张静脉点式剥除术治疗中老年下肢静脉曲张的临床疗效

A Study on the Clinical Effect of Modified Varicose Vein Stripping on the Middle Aged and Elderly Patients with Lower Extremity Varicose Veins

目的:探究改良曲张静脉点式剥除术在治疗中老年下肢静脉曲张的临床疗效。方法:收集我院已确诊为下肢静脉曲张的中老年患者37例,分成实验组与对照组。对照组18例行传统曲张静脉点式剥除术,实验组19例行改良曲张静脉点式剥除术。对比两组患者手术后的下肢静脉曲张的治疗效果。结果:实验组有效率(94.7%)显著高于对照组(72.2%),差异具有统计学意义(P<0.05);与对照组相比,实验组患者手术时间较短、术中出血量较少、下床活动时间较早,术后并发症总治愈率较高,复发率、术后并发症发生率较低,其差异均有统计学意义(P<0.05)。结论:采用改良曲张静脉点式剥除术治疗中老年下肢静脉曲张的患者能够更彻底的剥除曲张额静脉,有效的改善患肢症状,明显降低复发率。

Objective： To investigate the clinical effect of modified varicose vein stripping on middle aged and elderly patients with lower extremity varicose veins. Methods： 37 middle aged and elderly patients with lower extremity varicose veins from our hospital were selected and randomly divided into the control group and the experimental group. 18 cases in the control group were treated by conventional varicose vein stripping. 19 cases in the experiment group were treated by modified varicose vein stripping. The therapeutic effect of varicose veins of lower extremity was compared between two groups. Results： The effective rate of experimental group（94.7%）was significantly higher than that of the control group（72.2%）（P〈0.05）. Compared with the control group, the operation time was shorter,the amount of bleeding during operation was less, and the time of getting out of bed was earlier, the total cure rate of complication was higher, the recurrence rate and incidence rate of postoperative complications were lower（P〈0.05）. Conclusion： In elderly patients with varicose vein of lower extremity patients by modified varicose vein stripping could more thoroughly strip amounts of varicose vein,effectively improve the suffering from limb symptoms, reduce the relapse rate.