大隐静脉高位结扎剥脱术联合腹腔镜下交通支离断术治疗下肢静脉溃疡的效果分析

Effect analysis of high ligation and stripping of the great saphenous vein combined with laparoscopic perforating branch disconnection in the treatment of venous ulcers of the lower extremities

目的探究下肢静脉溃疡患者实施腹腔镜下交通支离断术结合大隐静脉高位结扎剥脱术治疗的临床效果。方法100例下肢静脉溃疡患者,依据不同治疗方式分成观察组和对照组,每组50例。观察组采用腹腔镜下交通支离断术结合大隐静脉高位结扎剥脱术治疗,对照组采用传统大隐静脉高位结扎剥脱术治疗。比较两组手术相关情况、生活质量评分、临床疗效、术后并发症发生情况、患者对治疗方式的满意度。结果观察组住院时间(5.10±2.54)d、术后疾病恢复时间(13.35±2.47)d均短于对照组的(8.12±6.23)、(61.02±5.26)d,差异有统计学意义(P<0.05)。观察组社会、躯体、环境、心理评分分别为(27.55±5.18)、(25.36±5.41)、(24.67±5.43)、(24.14±5.47)分,均高于对照组的(18.20±4.26)、(17.25±4.11)、(17.28±4.14)、(17.26±4.91)分,差异有统计学意义(P<0.05)。观察组治疗总有效率98.00%高于对照组的76.00%,差异有统计学意义(P<0.05)。观察组术后并发症发生率2.00%明显低于对照组的14.00%,差异有统计学意义(P<0.05)。观察组患者对治疗方式的总满意率98.00%高于对照组的80.00%,差异有统计学意义(P<0.05)。结论通过腹腔镜下交通支离断术结合大隐静脉高位结扎剥脱术治疗下肢静脉溃疡患者,对其临床疗效的提升、生活质量的改善意义重大,同时能够缩短疾病治疗所用时间,降低术后并发症发生率,提升患者对手术治疗方式的满意度,值得推广。

Objective To explore the clinical effects of laparoscopic perforating branch disconnection combined with high ligation and stripping of the great saphenous vein in patients with lower limb venous ulcers.Methods 100 patients with venous ulcers of the lower extremities were divided into an observation group and a control group,with 50 cases in each group.The observation group was treated with laparoscopic perforating branch disconnection combined with high ligation and stripping of the great saphenous vein,and the control group was treated with conventional high ligation and stripping of the great saphenous vein.The surgical related conditions,quality of life score,clinical efficacy,postoperative complications and patient satisfaction with treatment methods were compared between the two groups.Results The hospitalization time of(5.10±2.54)d and postoperative recovery time of(13.35±2.47)d in the observation group were shorter than(8.12±6.23)and(61.02±5.26)d in the control group,with a statistically significant difference(P<0.05).The social,physical,environmental,and psychological scores of the observation group were(27.55±5.18),(25.36±5.41),(24.67±5.43)and(24.14±5.47)points,which were significantly higher than(18.20±4.26),(17.25±4.11),(17.28±4.14)and(17.26±4.91)points of the control group,with a statistically significant difference(P<0.05).The total effective rate of treatment was 98.00%in the observation group,which was higher than 76.00%in the control group,with a statistically significant difference(P<0.05).The incidence of postoperative complications in the observation group was 2.00%,which was significantly lower than 14.00%in the control group,with a statistically significant difference(P<0.05).The total satisfaction with treatment methods was 98.00%in the observation group,which was higher than 80.00%in the control group,with a statistically significant difference(P<0.05).Conclusion Using laparoscopic perforating branch disconnection combined with high ligation and stripping of the great saphenous vein for patients with venous ulcers of the lower extremities is of great significance in improving their clinical efficacy and quality of life.It can also reduce the time required for disease treatment,as well as the incidence of postoperative complications,enhance patients'satisfaction with surgical treatment methods,which is worthy of promotion.