| 局麻下泡沫硬化剂联合点段式剥脱术对下肢静脉曲张影响的临床观察 |
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| 引用本文： | 杨晓,柳国斌,闫少庆,王丽翔,胡啸明. 局麻下泡沫硬化剂联合点段式剥脱术对下肢静脉曲张影响的临床观察[J]. 上海中医药杂志, 2019, 53(3): 56-59 |
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| 作者姓名： | 杨晓 柳国斌 闫少庆 王丽翔 胡啸明 |
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| 作者单位： | 上海中医药大学附属曙光医院外七科 |
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| 基金项目： | 上海市科委科研课题计划项目(16401902200)；国家自然科学基金青年科学基金项目(81804095) |
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| 摘 要： | 目的观察局麻下(府舍穴注射麻醉)泡沫硬化剂联合点段式剥脱术治疗下肢静脉曲张的临床疗效。方法将100例下肢静脉曲张患者随机分为治疗组和对照组,每组50例,治疗组予府舍穴局部注射麻醉下泡沫硬化剂联合点段式剥脱术治疗,对照组予腰麻下大隐静脉高位结扎联合抽剥术治疗。术后定期随访1年,观察临床疗效及复发情况,比较术中指标(出血量、手术时间)、住院天数及术后不良反应(恶心呕吐、尿潴留、肢体麻木)、并发症(创面感染、瘀斑或血肿、疼痛)等情况。结果①治疗组、对照组治愈率分别为96.0%、98.0%;组间临床疗效比较,差异无统计学意义(P0.05)。②组间出血量、住院时间比较,治疗组明显少于对照组(P0.05)。组间手术时间比较,差异无统计学意义(P0.05)。③治疗组术后恢复良好,没有患者出现恶心呕吐、尿潴留、肢体麻木等术后反应。对照组术后恢复尚可,有10例患者出现恶心呕吐、尿潴留、肢体麻木等术后反应。④组间术后并发症比较,治疗组在创面感染、瘀斑或血肿、疼痛方面,均明显少于对照组(P0.05)。⑤随访期治疗组复发1例、对照组复发8例,组间复发率比较差异有统计学意义,治疗组明显低于对照组(P0.05)。结论相较传统腰麻下大隐静脉高位结扎联合抽剥术,局麻下(府舍穴注射麻醉)泡沫硬化剂联合点段式剥脱治疗下肢静脉曲张,具有术中出血量少、住院时间短,术后不良反应少、创面感染少、疼痛少、复发率低等优势。
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| 关 键 词： | 府舍穴 注射麻醉 下肢静脉曲张 点段式剥脱术 泡沫硬化剂 |
| 收稿时间： | 2018-10-16 |
Clinical observation on effect of sclerosing foam combined with point-stage stripping on varicose veins of lower limbs under local anesthesia |
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| YANG Xiao,LIU Guobin,YAN Shaoqing,WANG Lixiang and HU Xiaoming. Clinical observation on effect of sclerosing foam combined with point-stage stripping on varicose veins of lower limbs under local anesthesia[J]. Shanghai Journal of Traditional Chinese Medicine, 2019, 53(3): 56-59 |
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| Authors: | YANG Xiao LIU Guobin YAN Shaoqing WANG Lixiang HU Xiaoming |
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| Affiliation: | Department of Surgery 7, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China,Department of Surgery 7, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China,Department of Surgery 7, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China,Department of Surgery 7, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China and Department of Surgery 7, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| Abstract: | |
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| Keywords: | Fushe acupoint injection anesthesia varicose veins point-stage stripping sclerosing foam |
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