超声引导聚桂醇泡沫硬化剂治疗大隐静脉曲张患者临床疗效分析
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摘要
目的研究超声引导下聚桂醇泡沫硬化剂对大隐静脉曲张患者的临床疗效。方法选取接受治疗的31例大隐静脉曲张患者作为观察组,对患者实施超声引导下聚桂醇泡沫硬化剂进行治疗,并回顾性分析实施常规剥脱术的31例大隐静脉曲张患者的病例资料作为对照组,对比两组患者手术时间、术中出血量、住院天数、及受性别、手术类型、加压包扎时间以及医生职称等因素的影响和两组并发症情况。结果观察组患者手术时间、术中出血量、住院天数以及住院费用均少于对照组,差异有统计学意义(P<0.05);受性别、手术类型、加压包扎时间以及医生职称等因素的影响,观察组并发症少于对照组,差异有统计学意义(P<0.05);性别、手术压迫时间以及医生职称与并发症的发生存在明显的相关性,女性患者并发症要多于男性患者,手术医生职称越高患者并发症越少,压迫时间适中患者并发症越少。结论超声引导聚桂醇泡沫硬化治疗大隐动脉曲张疗效显著,且具有微创、并发症少等优势,可作为大隐静脉曲张患者的首选治疗方案。
Objective To study the clinical efficacy of Polyvinyl alcohol foam hardening agent guided by ultrasound on varicose veins.Methods 31 patients with great saphenous vein(observation group)were treated with ultrasoundguided Polyvinyl alcohol foam hardening agent treatment.31 patients with varicose veins were selected as the control group treated with conventional operations.The operative time,blood loss,hospital stay,bandaged time and complications were observed.Results The operation time,blood loss,length of hospital stay and hospital costs of observation group were less than that of the control group.The difference was statistically significant(P<0.05).The complications in the observation group was less than that in the control group(P<0.05).The gender,surgical compression time and doctors titles were positive correlation with complications.Conclusion The treatment of varicosis of great saphenous vein with Polyvinyl alcohol foam hardening agent guided by ultrasound has obvious effect,minimal invasion and few complications,which is a preferred treatment options.
Objective To study the clinical efficacy of Polyvinyl alcohol foam hardening agent guided by ultrasound on varicose veins.Methods 31 patients with great saphenous vein(observation group)were treated with ultrasoundguided Polyvinyl alcohol foam hardening agent treatment.31 patients with varicose veins were selected as the control group treated with conventional operations.The operative time,blood loss,hospital stay,bandaged time and complications were observed.Results The operation time,blood loss,length of hospital stay and hospital costs of observation group were less than that of the control group.The difference was statistically significant(P<0.05).The complications in the observation group was less than that in the control group(P<0.05).The gender,surgical compression time and doctors titles were positive correlation with complications.Conclusion The treatment of varicosis of great saphenous vein with Polyvinyl alcohol foam hardening agent guided by ultrasound has obvious effect,minimal invasion and few complications,which is a preferred treatment options.
引文
[1]姜建威,吴清华,顾琛,等.腔内激光联合泡沫硬化杂交手术治疗下肢静脉曲张126例[J].中华普通外科杂志,2015,30(4):276-279.
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[9]王利刚,王强,仇秋苹,等.腰丛-髂腹股沟-坐骨神经联合阻滞应用于单侧大隐静脉曲张腔内激光闭合手术观察[J].2015,5(12):17-17.
[10]王颖,吕克言,李正茂,等.静脉刨吸术与点式抽剥术治疗大隐静脉曲张的临床疗效及并发症[J].疑难病杂志,2015,14(2):161-163.
[11]李光华,刘晓晨,李煜庆,等.泡沫硬化剂治疗复发性下肢静脉曲张23例临床体会[J].中国普外基础与临床杂志,2012,19(11):1229-1231.
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[14]朱永强,胡春洪,倪才方,等.透视引导下聚桂醇泡沫硬化剂治疗下肢静脉性溃疡的疗效和安全性[J].中华放射学杂志,2014,48(8):682-685.
[15]彭程,周智勇,王凯,等.大隐静脉高位结扎联合导管泡沫硬化剂治疗下肢静脉曲张[J].中国血管外科杂志(电子版),2014,1(2):107-109.
[2]王建春,陈坚,刘绪舜,等.小切口大隐静脉次高位结扎联合腔内微波凝固加聚桂醇局部注射治疗下肢静脉曲张[J].中国微创外科志,2015,6(4):329-331.
[3]管圣,慈红波,方青波,等.聚桂醇泡沫硬化剂治疗下肢静脉曲张200例临床分析[J].中国中西医结合外科杂志,2015,11(2):181-182.
[4]张建平.脉冲式腔内激光闭合术结合高位结扎和点状抽剥术治疗下肢大隐静脉曲张88例体会[J].中国药物与临床,2015,8(4):546-547.
[5]钱利强,高泉根,沈根海,等.两种手术方法治疗大隐静脉曲张的临床对比研究[J].中国现代普通外科进展,2015,18(4):317-319.
[6]李馨,贺声,张云山,等.便携式彩超在加勒比海地区前出医疗服务中的应用价值[J].中国急救复苏与灾害医学杂志,2015,2(4):391-393.
[7]郑学智,王超,薛立峰,等.点式内翻剥脱术与传统手术治疗大隐静脉曲张疗效比较[J].中国基层医药,2015,22(1):91-92.
[8]陆炯,刘佳莅,陆黎,等.腔内微波联合泡沫硬化剂治疗下肢静脉曲张的临床研究[J].中国临床研究,2015,28(1):74-76.
[9]王利刚,王强,仇秋苹,等.腰丛-髂腹股沟-坐骨神经联合阻滞应用于单侧大隐静脉曲张腔内激光闭合手术观察[J].2015,5(12):17-17.
[10]王颖,吕克言,李正茂,等.静脉刨吸术与点式抽剥术治疗大隐静脉曲张的临床疗效及并发症[J].疑难病杂志,2015,14(2):161-163.
[11]李光华,刘晓晨,李煜庆,等.泡沫硬化剂治疗复发性下肢静脉曲张23例临床体会[J].中国普外基础与临床杂志,2012,19(11):1229-1231.
[12]陆民浩,杨静,赵滨,等.泡沫硬化剂联合大隐静脉高位结扎术治疗下肢静脉曲张的研究[J].临床和实验医学杂志,2015,13(2):149-151.
[13]黄冀华,梁伟成,张艺,等.泡沫硬化剂聚桂醇治疗下肢静脉曲张的疗效观察[J].中国现代医生,2014,52(22):139-141.
[14]朱永强,胡春洪,倪才方,等.透视引导下聚桂醇泡沫硬化剂治疗下肢静脉性溃疡的疗效和安全性[J].中华放射学杂志,2014,48(8):682-685.
[15]彭程,周智勇,王凯,等.大隐静脉高位结扎联合导管泡沫硬化剂治疗下肢静脉曲张[J].中国血管外科杂志(电子版),2014,1(2):107-109.