TriVex透光旋切术与传统手术方法治疗下肢静脉曲张的对比研究

Comparison of clinical efficacy between Tri Vex-based transilluminated powered phlebectomy and traditional surgery in treatment of lower limb varicose veins

目的分析Tri Vex透光旋切术与传统手术方法治疗下肢静脉曲张的疗效。方法 A组为122例单下肢静脉曲张患者(122条患肢),接受Tri Vex透光旋切术,B组为80例单下肢静脉曲张患者(80条患肢),接受传统手术方法即大隐静脉高位结扎分段抽剥术。比较2组病例的住院日数、切口总长度、皮下血肿发生率、皮下硬结发生率、感觉麻木发生率、复发率等指标。结果 A组住院日数少、切口总长度小、皮下硬结发生率低、复发率低,组间比较差异有统计学意义(P<0.05)。随访12.8(6~15)个月,A组无复发病例,B组复发6例(7.5%)。2组皮下血肿发生率、感觉麻木发生率比较差异无统计学意义(P均>0.05)。结论 Tri Vex透光旋切术治疗下肢静脉曲张疗效显著,较传统方法恢复快、切口小、并发症少、复发率低。

Objective To evaluate the clinical efficacy of Trivex-based transilluminated powered phlebectomy(TIPP) versus traditional surgery in the treatment of lower limb varicose veins.Methods A total of 122 patients with unilateral lower limb varicose veins(122 affected limbs) undergoing Trivex-based TIPP were assigned into group A,and 80 counterparts with unilateral lower limb varicose veins(80 affected limbs)receiving traditional surgery by high saphenous ligation and stripping were allocated into group B.The length of hospital stay,total length of incisions,the incidence of subcutaneous hematoma,subcutaneous induration,paresthesia/numbness and recurrence rate were statistically compared between two groups.Results The length of hospital stay,total length of incisions,the incidence of subcutaneous indurations and the recurrence rate in group A were significantly less than those in group B(all P < 0.05).During the mean follow up of 12.8 months(range:6-15 months),no recurrent case was reported in group A,whereas 6 patients recurred in group B(7.5%).The incidence of subcutaneous hematoma and paresthesia/numbness did not significantly differ between two groups(both P > 0.05).Conclusion Tri Vex-based TIPP is a superior procedure to traditional surgery in the treatment of lower limb varicose veins,which yields faster recovery,smaller surgical incisions,less postoperative complications and lower recurrence rate.