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同期与序贯治疗在下肢静脉曲张合并静脉性溃疡中的临床疗效
引用本文:杨世伟,刘平,胡春芳,郝迎学. 同期与序贯治疗在下肢静脉曲张合并静脉性溃疡中的临床疗效[J]. 血管与腔内血管外科杂志, 2022, 0(1): 39-42
作者姓名:杨世伟  刘平  胡春芳  郝迎学
作者单位:陆军军医大学第一附属医院血管外科
基金项目:2020年度军队医学科技青年培育计划(20QNPY028)。
摘    要:目的 探讨同期与序贯治疗对下肢静脉曲张合并静脉性溃疡的临床疗效.方法 收集陆军军医大学第一附属医院2019年7月至2021年4月间收治的70例下肢静脉曲张合并溃疡患者临床资料,根据治疗方式不同将患者分为观察组(n=35,采用同期治疗)和对照组(n=35,采用序贯治疗).比较两组患者的溃疡愈合时间、抗生素使用时间、换药次...

关 键 词:下肢静脉曲张  溃疡  手术治疗

Clinical efficacy of simultaneous and sequential therapy in the treatment of lower extremity varicose vein with venous ulcer
Yang Shiwei,Liu Ping,Hu Chunfang,Hao Yingxue. Clinical efficacy of simultaneous and sequential therapy in the treatment of lower extremity varicose vein with venous ulcer[J]. Journal of Vascular and Endovascular Surgery, 2022, 0(1): 39-42
Authors:Yang Shiwei  Liu Ping  Hu Chunfang  Hao Yingxue
Affiliation:(Department of Vascular Surgery,First Affiliated Hospital Army Medical University,Chongqing 400038,China)
Abstract:Objective To investigate the clinical efficacy of simultaneous and sequential therapy in the treatment of lower extremity varicose vein complicated with venous ulcer.Method A total of 70 patients with lower extremity varicose vein complicated with ulcer who were admitted to the First Affiliated Hospital of Army Medical University from July 2019 to April 2021 were selected,and the patients were divided into the observation group(n=35,treated with combined treatment at the same time)and the control group(n=35,treated with sequential treatment).The ulcer healing time,antibiotic use time,dressing change times,pain,and changes in inflammatory indicators were compared between the two groups.Result The ulcer healing time,antibiotic use time,and pain time in the observation group were shorter than those in the control group,and the number of dressing changes was less than that in the control group,the differences were statistically significant(P<0.05).One week after the operation,there were no significant differences in white blood cell count,lymphocyte percentage and interleukin-6 between the two groups(P>0.05).Conclusion For patients with varicose vein of the lower extremity combined with venous ulcer,varicose vein surgery can be used first,which can significantly shorten the treatment time,relieve their symptoms,and speed up the healing of ulcer.
Keywords:varicose vein of the lower extremity  ulcer  surgical treatment
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