应用静脉剥脱导管手术与传统手术治疗原发性大隐静脉曲张的疗效对比

目的 探讨静脉剥脱导管手术与大隐静脉高位结扎+剥脱术治疗原发性大隐静脉曲张的近期疗效差异.方法 收集2019年8月至2020年7月南通市中医院收治的80例单侧大隐静脉曲张患者的临床资料,根据手术方法的不同将患者分为静脉剥脱导管组(n=40,应用静脉剥脱导管进行手术)和传统手术组(n=40,采用大隐静脉高位结扎+剥脱术)...

Comparison of the curative effect between primary varicosis of great saphenous vein with venous stripping catheter and traditional surgery

Objective To investigate the difference of short-term curative effect between venous stripping catheter operation and high saphenous vein ligation+stripping in the treatment of primary varicosis of great saphenous vein.Method The clinical data of 80 patients with unilateral varicosis of great saphenous vein admitted to Nantong Hospital of Traditional Chinese Medicine from August 2019 to July 2020 were collected,and the patients were divided into the venous stripping catheter group(n=40,surgery with venous stripping catheter)and the traditional operation group(n=40,using high saphenous vein ligation+stripping)according to different surgical methods.After 12 months of follow-up,the postoperative recurrence and complications were compared between the two groups.Result After the operation,there was no significant difference in lower extremity deep vein thrombosis,incision skin infection,and skin numbness between the two groups(P>0.05).The incidence of subcutaneous blood stasis in the venous stripping catheter group was 10%(4/40),which was lower than 27.5%(11/40)in the traditional surgery group,and the difference was statistically significant(P=0.045).After the operation,the recurrence rate of the patients in the vein stripping catheter group was 2.5%(1/40),which was lower than 20.0%(8/40)in the traditional surgery group,and the difference was statistically significant(P=0.025).Conclusion The employment of vein stripping catheter,which has clinical promotion value,for varicose vein characterize with safety,effectiveness,simple to operate,and fewer risk of complications.