双下肢静脉曲张单侧术后对对侧下肢静脉血流动力学的影响及其临床研究

Clinical research and effect of unilateral surgery for varicose veins of both lower limbs on venous hemodynamics of contralateral lower limb

目的研究双下肢静脉曲张单侧术后对对侧下肢静脉血流动力学的影响。方法对我院84例原发性双下肢静脉曲张老年患者进行研究,随机均分为两组,B组对严重一侧肢体行手术治疗,A组予以双侧手术,比较手术前后两组下肢静脉血流速度、症状改善情况。结果 A组病情较轻侧浅静脉血流速度术后得到明显改善,B组术后6个月开始明显改善(P<0.05);两组术后12个月双下肢深静脉血流速度比较差异并不显著,且术后6、12个月病情较轻侧浅静脉血流速度比较差异并不显著(P>0.05);术后12个月,两组双下肢疼痛程度、乏力程度、色素沉着以及静脉迂曲程度比较无明显差异(P>0.05);B组25例(60.98%)不用行手术治疗。结论双下肢静脉曲张单侧术后,对侧下肢静脉血流速度、疼痛、乏力、色素沉着以及静脉迂曲等症状也会得到改善,可在一定程度上降低对侧下肢需手术率。

Objective To study the effect of unilateral surgery for varicose veins of both lower limbs on venous hemodynamics of contralateral lower limb. Methods 84 elderly patients with primary varicose veins of both lower limbs in our hospital were researched and they were randomly divided into two groups. Group B was treated with unilateral surgery for the serious limb while group A were treated with bilateral surgery. The venous flow velocity of lower limbs and improvements of symptoms before and after operation of two groups were compared. Results The superficial venous blood flow velocity of milder limbs of group A was significantly improved after surgery, while that of group B was significantly improved at 6 months after surgery （P 〈 0.05）. Differences in deep venous blood flow velocity of both limbs of 12 months after surgery of two groups were not significant. And differences in superficial venous blood flow velocity of milder limbs of 6 months and 12 months after surgery of two groups were not significant （P 〉 0.05）. 12 months after surgery, there was no significant difference in pain degree of both lower limbs, degree of weakness, pigmentation and degree of venous tortuosity between two groups （P 〉 0.05）. 25 patients in group B didn＇ t need to accept surgical treatment, accounting for 60.89%. Conclusion After unilateral surgery for varicose veins of both lower limbs, venous blood flow velocity, pain, weakness, pigmentation, venous tortuosity and other symptoms of contralateral lower limb were improved, which can reduce the surgical rate of the contralateral lower limb to a certain extend.