| 钬激光与传统手术治疗下肢静脉曲张的临床对照研究 |
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| 引用本文： | 褚雪峰,缪秀华,圣小平,张松贵,许晓萍,陈正言,龚就成,卢小冬. 钬激光与传统手术治疗下肢静脉曲张的临床对照研究[J]. 中国微创外科杂志, 2008, 8(5): 459-461 |
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| 作者姓名： | 褚雪峰 缪秀华 圣小平 张松贵 许晓萍 陈正言 龚就成 卢小冬 |
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| 作者单位： | 江苏省如皋市人民医院外科,如皋,226500 |
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| 基金项目： | 江苏省南通市社会发展基金 |
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| 摘 要： | 目的比较钬激光与传统手术治疗下肢静脉曲张的临床效果。方法2005年3月~2006年12月,对226例(274条患肢)下肢静脉曲张分别采用钬激光治疗120例(148条患肢)(钬激光组),传统大隐静脉高位结扎加抽剥术106例(126条患肢)(传统组)。结果与传统组相比,钬激光组手术时间短[(38.0±10.8)minvs(61.5±12.3)min,t=-15.294,P=0.000],术后需止痛剂患者比例少[0%(0/120)vs54.7%(58/106),χ2=88.329,P=0.000],下床活动早[(6.2±0.8)hvs(22.5±1.5)h,t=-105.034,P=0.000],术后住院时间短[(3.0±0.5)dvs(8.5±2.5)d,t=-23.632,P=0.000],并发症发生率相近[16.9%(25/148)vs18.3%(23/126),χ2=0.087,P=0.768],1年复发率相近[3.8%(3/78)vs3.1%(2/65),χ2=0.000,P=1.000]。结论钬激光治疗下肢静脉曲张具有能明显缩短手术时间及住院时间,减少切口数量,术后疼痛轻,可早期下床活动等优点。保证疗效...
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| 关 键 词： | 静脉曲张 传统手术 钬激光 |
| 文章编号： | 1009-6604(2008)05-0459-03 |
| 修稿时间： | 2007-05-09 |
Comparison of Holmium Laser and Traditional Surgery for Varicosis of the Lower Limbs |
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| Affiliation: | Chu Xuefeng; Miao Xiuhua; Sheng Xiaoping; et al.People s Hospital of Rugao; Rugao 226500; China; |
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| Abstract: | Objective To compare the efficacy of holmium laser and traditional surgery for the treatment of varicosis of the lower limbs.Methods From March 2005 to December 2006,226 patients with varicosis of the lower limbs(274 limbs)were treated using holmium laser(laser group,120 patients with 148 diseased limbs)or high ligation and stripping of the great saphenous vein(traditional group,106 patients with 126 diseased limbs).Results The mean operation time of the laser group was significantly shorter than that in th... |
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| Keywords: | Varicosis Traditional surgery Holmium laser |
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