日间单侧与双侧大隐静脉曲张手术并发症的对比分析

目的通过对比分析行单侧和双下肢大隐静脉高位结扎，曲张静脉点式剥脱术日间手术的并发症，进一步探索单侧和双下肢大隐静脉曲张手术均可在日间手术开展的可行性。方法回顾性分析2011年1月至2013年8月的482例行单侧和双下肢大隐静脉高位结扎，曲张点式静脉剥脱术患者的临床资料，其中单侧下肢患者294例（65％），双下肢患者188例（35％），肢体总数670条，其中双下肢手术占肢体总数56．1％，单侧下肢手术占43．9％。比较两种方法术后1个月相关并发症。结果在1个月后的随访中，单侧下肢中16例患者（5．4％）和双下肢中15例患者（8．0％）出现伤口硬节或感染症状，单侧下肢中38例患者（12．9％）和双下肢中41例（21．8％）出现感觉麻木症状，单侧下肢中67例患者（22．8％）和双下肢中71例（37．8％）出现下肢胀痛，单侧下肢患者5例（1．7％）和双下肢中10例（5．3％）存在残存曲张静脉，单侧下肢患者中1例（0．3％）和双下肢中2例（1．1％）存在深静脉血栓形成（DVT）。两组并发症的肢体数发生率比较差异无统计学意义（P＞0．05）。结论单侧和双下肢大隐静脉曲张手术均可在151间手术完成且安全有效，易于推广。

Comparisons of complications of ambulatory phlebectomy between unilateral and bilateral limb with varicose vein with day surgery

Objective To compare the complications of ambulatory phlebectomy between unilateral and bilateral limb with var- icose vein with day surgery, and further to explore the feasibility of day surgery of unilateral and bilateral limb with varicose veins. Methods From January 2011 to August 2013, 482 patients with unilateral and bilateral limb with varicose vein undergoing high ligation of great saphen0us vein and varicose vein stripping were retrospectively analyzed and followed up 1 month of dischargement and complications of unilateral and bilateral limb with varicose vein with day surgery were compared and analyzed. Patients with unilateral limb varicose vein were 294 （65%） and 188 （35%） patients with bilateral limb varicose vein. Total limbs with varicose vein with were 670, bilateral limb with varicose vein was 56. 1%, and unilateral limb with varicose vein was 43.9%. Results Following 1 month follow-up, wounds knurl or infection symptoms occurred 16 （5.4%） in 294 patients with unilateral varicose vein patients and 15 （8.0%） in 188 patients with bilateral varicose vein. Paraesthesia occurred 38 （ 12. 9% ） in unilateral varicose vein patients and bilat- eral varicose vein limbs in 41 （21.8%）. Limb pain occurred in 67 （22. 8% ） patients with unilateral varicose vein and 71 （37.8%） patients with bilateral varicose vein. With unilateral varicose vein （ 1.7% ） and bilateral varicose vein 10 （5.3%） existed the residual varicose veins, and 1 （0. 3 % ） in patients with unilateral varicose vein and bilateral varicose vein （ 1.1% ） with deep vein thrombosis （DVT）. No statistical difference （ P〉 O. 05 ） was found between complications between unilateral and bilateral limb with varicose vein by ambulatory phlebectomy with day surgery. Conclusions Day surgery for ambulatory phlebectomy in unilateral and bilateral limb varicose vein is safe, effective, and easy promotion and application.