STRIPP’IN内剥脱导管与腔内激光治疗大隐静脉曲张的临床对比分析

发布时间：2018-05-31 03:33

本文选题：大隐静脉曲张 + STRIPP　；参考：《福建中医药大学》2015年硕士论文

【摘要】：目的：本课题旨在通过比较STRIPP'IN内剥脱导管与腔内激光治疗大隐静脉曲张的临床疗效及并发症,观察STRIPP'IN内剥脱导管的临床治疗效果,并总结出STRIPP'IN内剥脱导管治疗大隐静脉曲张的优缺点、手术指征及注意事项。进一步发现STRIPP'IN内剥脱导管的不足,补充完善此项技术的相关研究。方法：1、选择我院住院符合诊断标准、纳入标准和排除标准的大隐静脉曲张120例患者。随机将其分为内剥脱组(大隐静脉高位结扎+内剥脱+微静脉切除术)及对照组(大隐静脉高位结扎+激光灼闭+微静脉切除术)二组各60例患者进行治疗。内剥脱组大隐静脉主干采用STRIPP'IN内剥脱导管剥除,对照组采用半导体激光治疗仪行大隐静脉主干灼闭。最后根据手术时间、术中出血量、术后疼痛、术后创伤反应、术后患者主观感受变化及术后并发症等判定患者疗效及并发症。2、借助统计学方法,比较二组的疗效差别,从而总结出STRIPP'IN内剥脱导管治疗大隐静脉曲张的优缺点、手术指征及注意事项。进一步发现STRIPP'IN内剥脱导管的不足,补充完善此项技术的相关研究,从而提高临床水平。结果：1、本次研究共收集120例患者(159条肢体),内剥脱组60例(77条肢体),对照组60例(82条肢体),两组患者在性别、年龄、分级构成上差异无统计学意义(P0.05),两组数据具有可比性。2、STRIPP'IN内剥脱导管与静脉腔内激光治疗(Endovenous Laser Treatmeat, EVLT)在手术时间、术后卧床时间、皮下瘀血、皮肤灼伤、皮肤麻木感、深静脉血栓发生、静脉曲张复发、患者个人感觉变化上差异无统计学意义(P0.05),具有简单、安全、创伤小、疗效好等特点。3、内剥脱组在皮下条索状硬结及术后疼痛上优于激光治疗对照组,其差异具有统计学意义(P0.05)。4、激光对照组在术中出血量上优于内剥脱治疗组,其差异具有统计学意义(P0.05)。结论：STRIPP'IN内剥脱导管治疗与腔内激光治疗在主干处理上均具有疗效确切、创伤小、操作简单的特点。STRIPP'IN内剥脱导管治疗可有效避免血栓性静脉炎并发症,并可减轻术后疼痛,提高患者满意度。因此,该治疗手段在大隐静脉主干处理上有很好的应用前景。
[Abstract]:Objective : To evaluate the clinical efficacy and complications of the treatment of large saphenous vein in patients with large saphenous vein by comparing the clinical efficacy and complications of the intraaortic ablation catheter with the intracavity laser in the treatment of 60 patients with large saphenous vein . The results showed that the treatment group was divided into two groups : internal stripping group ( high saphenous vein ligation + internal stripping + microvein resection ) and control group ( high saphenous vein high ligation + laser cauterization + microvein resection ) . Conclusion : In the treatment of intra - cavity laser therapy , it has the characteristics of exact curative effect , small trauma and simple operation . Conclusion : The treatment of intraaortic ablation catheter with P ' IN can effectively avoid the complications of thrombophlephlogistic , and can reduce postoperative pain and improve patient satisfaction . Therefore , the treatment has a good prospect in the treatment of large saphenous vein trunk .
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.4

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