顺行与逆行内翻抽剥治疗大隐静脉曲张的临床效果比较

发布时间：2018-03-01 02:29

本文关键词： 静脉曲张/外科学静脉曲张/治疗隐静脉　出处：《中国普通外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的:比较顺行与逆行内翻抽剥治疗大隐静脉曲张的临床效果。方法:回顾分析511例行内翻抽剥加点式抽剥治疗静脉曲张患者的临床资料,其中234例行从内踝附近开始至隐股交界处方向的顺行抽剥(顺行组),277例行从隐股交界处开始至内踝附近方向的逆行抽剥(逆行组),比较两组患者的相关临床指标。结果:两组患者术前资料具有可比性。两组的手术时间、术中出血量、切口个数、术后住院时间、总并发症发生率、术后下肢酸胀情况及术后溃疡愈合时间方面,差异均无统计学意义(均P0.05),但顺行组隐神经损伤率及术后静脉曲张复发率明显低于逆行组(P0.05)。结论:顺行抽剥治疗大隐静脉曲张在减少隐神经损伤和远期疗效方面优于逆行抽剥。
[Abstract]:Objective: to compare the clinical effects of anterograde and retrograde varicose varices. Methods: clinical data of 511 patients with varicose vein treated by varicose vein were analyzed retrospectively. 234 of these patients underwent anterograde exfoliation from the medial malleolus to the hidden-femoral junction. In the anterograde group 277 patients underwent retrograde exfoliation from the hidden-femoral junction to the medial malleolus (retrograde group) to compare the relevant clinical indicators between the two groups. Results: the preoperative data of the two groups were comparable. The amount of intraoperative bleeding, the number of incisions, the length of hospitalization after operation, the incidence of complications, the acidosis of lower extremities and the healing time of ulcers after operation were analyzed. The saphenous nerve injury rate and the recurrence rate of varicose vein in the anterograde group were significantly lower than those in the retrograde group (P 0.05). Conclusion: anterograde exfoliation is superior to retrograde exfoliation in reducing saphenous nerve injury and long-term curative effect in the treatment of varicose great saphenous vein.
【作者单位】：中南大学湘雅医院普通外科;
【分类号】：R654.4

【相似文献】