高位结扎联合点式与传统剥脱术应用于大隐静脉曲张患者的临床对比

目的 探讨高位结扎联合点式与传统剥脱术应用于大隐静脉曲张患者的临床效果.方法 80例研究对象均选自北京市通州区西集卫生院2018年9月至2021年7月收治的大隐静脉曲张患者,随机数字表法将其分为对照组和观察组,每组各40例.对照组患者予以大隐静脉高位结扎联合传统剥脱术治疗,观察组患者予以大隐静脉高位结扎联合点式剥脱术治...

Clinical comparison of high ligation combined with dot and traditional stripping in patients with varicose great saphenous vein

Objective To investigate the clinical effect of high ligation combined with dot and traditional stripping in patients with varicose great saphenous vein. Method 80 subjects were selected from patients with great saphenous varices treated in Xiji Health Center of Tongzhou District in Beijing from September 2018 to July 2021. They were randomly divided into control group and observation group, with 40 cases in each group. The patients in the control group were treated with high ligation of great saphenous vein combined with traditional stripping, and the patients in the observation group were treated with high ligation of great saphenous vein combined with dot stripping. The patients in both groups were followed up to discharge. The hospital stay, operation time, out of bed activity time,intraoperative blood loss and the levels of serum tumor necrosis factor-a, interleukin-6 and nitric oxide before and 3 days after operation were compared between the two groups, the Visual analogue scale(VAS), venous clinical severity score(VCSS), and chronic venous insufficiency questionnaire(CIVIQ)were also compared between the two groups. Result The hospitalization time and operation time of the observation group were shorter than those of the control group, the activity time of getting out of bed was earlier than that of the control group, and the amount of intraoperative bleeding was less than that of the control group(all P < 0.05). Compared with before operation, the levels of serum tumor necrosis factor-a, interleukin-6 and nitric oxide in the two groups increased three days after operation,but the increase range of patients in the observation group was lower than that in the control group(P < 0.05). Compared with before operation, the VAS and VCSS scores of the two groups decreased and CIVIQ scores increased 7 days after operation, and the decrease range of VAS and VCSS scores in the observation group was better than that in the control group(P < 0.05), CIVIQ score increased significantly better than the control group(P < 0.05). Conclusion Compared with traditional stripping,high ligation combined with dot stripping can effectively shorten the time of getting out of bed, operation and hospitalization, reduce intraoperative blood loss, reduce pain and stress reaction, and improve the quality of life of patients with great saphenous vein varicose.