环激光闭合治疗大隐静脉曲张术后并发症的临床分析及预防要点

Clinical Analysis and Prevention of Postoperative Complications of Ring Laser Closure Treatment for Varicosis of Great Saphenous Vein

目的探讨分析环激光闭合治疗大隐静脉曲张术后并发症以及预防要点。方法选取本院2020年5月—2023年5月收治的行大隐静脉曲张手术患者50例。将所有研究对象按照手术类型分为观察组(n=25)和对照组(n=25),其中观察组患者采用环激光(单环,波长1470nm)闭合治疗,对照组患者采用传统手术治疗,对比分析两组研究对象手术指标、术后恢复、术后并发症以及VCSS、CIVIQ评分等情况。结果观察组术中出血量和对照组患者相比较少,手术时间、切口总长度短于对照组,两组数据对比意义显著(P<0.05)。观察组患者VAS评分和对照组患者评分相比较低,患肢酸胀感消失时间、出院时间、患肢沉重麻木感消失时间和对照组指标相比较短,两组数据对比差异有统计学意义(P<0.05)。观察组术后出现皮下瘀斑、血栓性浅静脉炎、隐神经受损、切口感染等并发症和对照组相比较低,两组数据对比差异有统计学意义(P<0.05)。两组研究对象术前的VCSS、CIVIQ评分对比差异无统计学意义(P>0.05)。术后6月后,两组研究对象VCSS、CIVIQ评分均优于术前(P>0.05)。观察组患者术后6个月VCSS、CIVIQ评分优于对照组,差异有统计学意义(P<0.05)。结论环激光闭合治疗大隐静脉曲张操作规范,创伤小,整体安全性高,可有效降低术后并发症发生。

Objective To explore and analyze postoperative complications and prevention points of ring laser closure treatment for varicosis of great saphenous vein.Methods The paper chose 50 patients with surgery of varicosis of great saphenous vein in our hospital from May 2020 to May 2023,and divided them into observation group(n=25)and control group(n=25)based on surgery.Observation group was treated with closed loop laser(single loop,wavelength 1470nm)treatment,while control group with traditional surgical treatment.Surgical indicators,postoperative recovery,postoperative complications,VCSS,CIVIQ scores,and other factors were compared and analyzed between two groups.Results Intraoperative blood loss in observation group was lower than control group,surgical time and total incision length was shorter than control group.Data difference was significant between two groups,(P<0.05).VAS scores of observation group were lower than control group,and disappearance time of limb soreness,discharge time,and heaviness and numbness in affected limb was shorter than indicators of control group.Comparison was significant between two groups(P<0.05).Postoperative complications including subcutaneous bruising,thrombotic superficial phlebitis,saphenous nerve damage,and incision infection in ob servation group were lower than control group,comparison was significant between two groups,(P<0.05).Comparison of preoperative VCSS and CIVIQ scores between two groups of study subjects was not significant(P>0.05).Six months after surgery,both groups of study subjects had better VCSS and CIVIQ scores than before surgery(P>0.05).VCSS and CIVIQ scores of observation group were better than control group at 6 months after surgery(P<0.05).Conclusion Ring laser closure treatment has standardized operation,little injury,high overall safety for varicosis of great saphenous vein,can reduce incidence of postoperative complications effectively.