经皮高位结扎与传统开放式高位结扎大隐静脉的随机前瞻性研究

A randomized prospective study of percutaneous high ligation and traditional open high ligation methods for varicose veins

目的探讨两种大隐静脉高位结扎术的临床优缺点。方法选择2016年6月至2018年6月河北中石油中心医院收治的大隐静脉曲张病例90例,分为观察组和对照组各45例,观察组对隐股静脉连接部的处理采用经皮高位结扎术,对照组采用传统切开高位结扎术。结果观察组病人的手术时间(14.57±4.39)min、术中出血量(25.00±9.77)mL、切口长度(3.00±0.94)mm、围手术期并发症发生率(1.79%)优于对照组病人的手术时间(25.00±5.02)min、术中出血量(50.00±12.56)mL、切口长度(40.00±5.02)mm、围手术期并发症发生率(13.6%),两组差异有统计学意义(P<0.05),观察组与对照组在随访6个月后复发率差异无统计学意义(P>0.05)。结论经皮高位结扎术较传统开放式高位结扎术在随访6个月后疗效差异无统计学意义,而其平均手术时间、术中出血量、切口长度、围手术期并发症发生率低于传统手术方法,是一种等效而又微创的手术方式,值得临床推广。

Objective To investigate the clinical advantages and disadvantages of two high ligation methods of varicose veins.Meth ods Ninety cases of varicose veins in Hebei China Petro Central Hospital treated from June 2016 to June 2018 were randomly as signed into observation group(n=45)and control group(n=45).The control group was treated with traditional open high ligation while the observation group was treated with percutaneous high ligation.Results The average operation time(14.57±4.39 min),blood loss during operation(25.00±9.77 mL),length of incision(3.00±0.94 mm)and incidence of perioperative complications(1.79%)of the observation group was superior to the average operation time(25.00±5.02 min),blood loss during operation(50.00±12.56 mL),length of incision(40.00±5.02 mm)and incidence of perioperative complications(13.6%)of the control group;the dif ferences were statistically significant(P<0.05).The recurrence rates after six months of follow up of the two groups were similar by statistical treatment(P>0.05).Conclusions After six months of follow up,there is no significant difference in the efficacy be tween the percutaneous high ligation and traditional open high ligation.But the operation time,blood loss during operation,length of incision,and incidence of perioperative complications are superior for the percutaneous high ligation.It is equally effective yet mini mally invasive,which is worthy of clinical application.