| 激光腔内闭合联合高位结扎与大隐静脉高位结扎剥脱术治疗下肢静脉曲张的疗效比较 |
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| 引用本文： | 陈千益,费哲为,陈大伟,欧敬民.激光腔内闭合联合高位结扎与大隐静脉高位结扎剥脱术治疗下肢静脉曲张的疗效比较[J].中国血管外科杂志（电子版）,2013(3):170-173. |
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| 作者姓名： | 陈千益 费哲为 陈大伟 欧敬民 |
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| 作者单位： | 上海交通大学医学院附属新华医院崇明分院普外科,上海,202150 |
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| 摘 要： | 目的比较应用激光腔内闭合术(EVLT)联合高位结扎与大隐静脉高位结扎+剥脱术治疗下肢静脉曲张的临床效果。方法将2007年3月至2012年2月间我院收治的278例下肢静脉曲张患者(共342条肢体)分成EVLT联合高位结扎组(A组,286条肢体)和大隐静脉高位结扎+剥脱术组(B组,56条肢体)。比较两组的手术时间,术后48h疼痛视觉模拟评分(VAPS),术后首次下床时间,术后住院天数;术后第6个月比较手术前后CEAP分级、患者自身对手术效果及整体满意度评价。结果两组手术时间、住院天数比较差异无统计学意义(P>0.05),但A组术后48 h疼痛较轻、下床时间稍早(P<0.05);术前和术后6个月两组的CEAP分级、手术效果评分比较,差异有统计学意义(P<0.05),组间差异则无统计学意义(P>0.05),但术后患者的整体评价A组优于B组(P<0.05)。结论 EVLT联合高位结扎术治疗具有与传统手术相似的效果,患者满意度高,值得临床推广。
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| 关 键 词： | 下肢静脉曲张 激光腔内闭合术 大隐静脉高位结扎剥脱术 疗效 |
Comparative study of the efficacy of varicose vein in lower extremity treated by great saphenous vein high ligation combined with endovenous laser treatment and great saphenous vein high ligation and stripping |
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| CHEN Qian-yi
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FEI Zhe-wei
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CHEN Da-wei
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OU Jing-min.Comparative study of the efficacy of varicose vein in lower extremity treated by great saphenous vein high ligation combined with endovenous laser treatment and great saphenous vein high ligation and stripping[J].Chinese Journal of Vascular Surgery(Electronic Version),2013(3):170-173. |
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| Authors: | CHEN Qian-yi FEI Zhe-wei CHEN Da-wei OU Jing-min |
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| Institution: | CHEN Qian-yi;FEI Zhe-wei;CHEN Da-wei;OU Jing-min;Department of General Surgery,Chongming Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine; |
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| Abstract: | |
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| Keywords: | Varicose venous in lower extremity Endovenous laser treatment Great saphenous vein high ligation and stripping Therapeutic effect |
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