大隐静脉曲张膝位结扎分段剥脱术与传统手术的效果比较

目的比较大隐静脉曲张发生在膝以下者行膝位结扎分段剥脱术与传统高位结扎分段剥脱术的临床效果。方法选择我院2004年1月—2009年1月收治的大隐静脉曲张发生在膝以下病人146例,162肢体。按照随机对照原则分成两组,分别行膝位结扎分段剥脱术及传统高位结扎分段剥脱术,在单肢手术时间、单肢手术出血量、单肢术后2年复发率三方面进行比较。结果膝位结扎分段剥脱术与传统高位结扎分段剥脱术之间的单肢平均手术时间、单肢平均手术出血量差异有统计学意义（P〈0.01）,膝位结扎分段剥脱术与传统高位结扎分段剥脱术的单肢术后2年复发率之间的差异无统计学意义（P〉0.05）。结论采用膝位结扎分段剥脱术治疗大隐静脉曲张发生在膝以下者可行,临床效果确切。

Effect comparison of parallel knee ligation segmentation stripping with traditional operation of the great saphenous varicose vein

Objective To compare the effect of parallel knee ligation segmentation stripping with traditional high ligation segmentation stripping on treating the great saphenous varicose vein below knee and explore the surgical methods of the great saphenous varicose vein.Methods From January 2004 to January 2009,our hospital had treated the great saphenous varicose vein below knee 146 cases,162 affected limbs.In a random contrast principle,they were divided into two groups,used parallel knee ligation segmentation stripping and traditional high ligation segmentation stripping respectively.We compared the three areas of the single limb operation time,the single limb surgery blood loss and the single limb postoperative recurrence rate in 2 years.Results The average single limb operation time and the average single limb surgery blood loss what compared parallel knee ligation segmentation stripping with traditional high ligation segmentation stripping have statistical significant difference（P0.01）.The single limb postoperative recurrence rate in 2 years which compared parallel knee ligation segmentation stripping with traditional high ligation segmentation stripping hasn＇t statistical significant difference（P0.05）.Conclusion It is feasible that use parallel knee ligation segmentation stripping to treat the great saphenous varicose vein below knee.The clinical effect is certain.