硬化疗法治疗下肢静脉曲张的临床疗效分析

Analysis of the clinical efficacy of sclerotherapy in the treatment of lower extremity varicose veins

目的探讨硬化疗法治疗下肢静脉曲张的临床疗效。方法选择2015年1月~2016年6月在我院治疗的下肢静脉曲张患者60例的临床资料进行回顾性分析。其中30例采用传统手术治疗为对照组,30例采用硬化疗法治疗为研究组。记录两组平均手术时间、平均住院天数、手术切口数目等。术后3个月随访CEAP分级,观察治疗后并发症情况。结果研究组平均手术时间、术后住院时间以及总住院时间均显著较对照组短,差异有统计学意义(P<0.05)。研究组手术切口数目均≤4个,对照组有6例切口数目≤4个,13例5~10个,6例11~15个,5例≥16个,两组比较差异有统计学意义(P<0.05)。两组术后3个月随访CEAP分级比较,差异无统计学意义(P>0.05)。对照组并发症发生率显著高于研究组,差异有统计学意义(P<0.05)。结论硬化疗法创伤小,并发症少,预后与传统手术疗法相似,值得临床推广。

Objective To study the clinical efficacy of sclerotherapy in the treatment of varicose veins of lower ex- tremities. Methods The clinical data of 60 patients with lower extremity varicose veins treated in our hospital from January 2015 to June 2016 were retrospectively analyzed. 30 of them were chosen as the control group treated with tra- ditional surgery and 30 patients were as the study group treated with sclerotherapy. The average operative time, average length of hospital stay, and surgical incision number of the two groups were recorded. The CEAP grade was followed up at 3 months after surgery. The postoperative complications were observed. Results The average operative time, postop- erative hospital stay and total hospital stay were significantly shorter in the study group than those in the control group （P〈0.05）, and the difference was statistically significant. The incision number in the study group was ≤4. There were 6 cases of incision number ≤4, 13 cases of 5-10, 6 cases of 11-15 and 5 cases of ≥16 in the control group, and the difference between the two groups was statistically significant（P〈0.05）. There was no significant difference in CEAP grade at 3 months after operation （P〉0.05）. The incidence of complications in the control group was significantly higher than that in the study group,and the difference was statistically significant（P〈0.05）. Conclusion The sclerotherapy has the advantages of small trauma, few complications and similar prognosis to traditional surgical therapy, which is worthy to be popularized.