大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡

目的:探索电凝术结合高压氧治疗下肢静脉性溃疡的方法。方法:将患有下肢静脉性溃疡32例(34条患肢),随机分为实验组16例(18条患肢)和对照组16例(16条患肢),实验组采用大隐静脉高位结扎电凝术结合高压氧治疗,先行大隐静脉高位结扎电凝术,术后第1天开始高压氧治疗,1次/d,治疗7 d～21 d。对照组16例(16条患肢)行大隐静脉高位结扎电凝术,8例患肢深静脉返流(按Kistner分类法)为Ⅲ～Ⅳ级,加做戴戒术。结果:实验组溃疡愈合时间7 d～21 d,平均(14±3.9)d;对照组溃疡愈合时间18 d～66 d,平均(31±5.8)d,两组溃疡愈合时间具有高度显著性差异(P<0.01)。实验组随访6个月～40个月,溃疡无复发。结论:大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡可以促进溃疡愈合,缩短溃疡愈合时间,且溃疡不易复发。

Clinical Research on Hyperbaric Oxygen and Electrocoagulation in the Treatment of Venous Ulcers on Legs

Objective To explore the new methods of treatment in venous ulcer on legs with hyperbaric oxygen and electro- coagulation.Methods 32 patients (34 legs)with venous ulcer on legs were divided into therapeutic group(16 cases i.e.18 legs)and comparison group(16 patients i.e.16 legs).Therapeutic group were treated by hyperbaric oxygen and electrocoagu- lation at the first day after the operation, once a day for 7 d～21 d.Comparison group were treated by electrocoagulation. There were 8 patients with venous refluence(Kistner:Ⅲ～Ⅳ)being treated by wearing ring.Results Therapeutic group were cured in 7～21 (14±3.90)days, comparison group were cured 18～66 (31±5.8)days.There was statistical difference be- tween two group (P<0.01).Therapeutic group were investigated subsequently for 6～40 months, their venous ulcer had no re- lapsing.Conclusion The treatment for venous ulcer on legs by hyperbaric oxygen and electrocoagulation was a fine therapy, It can make venous ulcer on legs cure faultlessly and shorten their time, the ulcer could not be relapsed.