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标题:大隐静脉高位结扎合并腔内电凝闭合术治疗下肢浅静脉曲张疗效分析
作者:陆峻逵,刘芳君
卷次: 2012年23卷2期
(深圳市龙岗区大鹏人民医院外科,广东 深圳 518120)
【摘要】 目的 探讨大隐静脉高位结扎合并腔内电凝闭合术对下肢浅静脉曲张治疗的疗效。方法 将我
院收治的210例(共350条肢体)下肢浅静脉曲张患者随机分为实验组和对照组,对照组患者采用腔内电凝闭合术
进行治疗,实验组患者采用大隐静脉高位结扎合并腔内电凝闭合术进行治疗。结果 实验组临床治愈率为
98.9%,高于对照组的85.9%(P<0.05);实验组患者出现并发症147例次,低于对照组的219例次(P<0.05);实验组
静脉曲张复发以及溃疡复发的患肢分别为1肢和2肢,而对照组分别为9肢和13肢(P<0.05);实验组患者术后疼
痛的发生机会明显大于对照组(P<0.05)。结论 对患者采用大隐静脉高位结扎合并腔内电凝闭合术进行治疗
可有效提高患者临床疗效,改善患者预后。
【关键词】 大隐静脉高位结扎;腔内电凝闭合术;下肢浅静脉曲张
【中图分类号】 R543.6 【文献标识码】 A 【文章编号】 1003—6350(2012)02—045—03
Clinical effect of high ligation of the great saphenous vein combined with endovenous electrocoagulation in the
treatment of varicose veins in the lower extremities. LU Jun-kui, LIU Fang-jun. Department of Surgery, People's
Hospital of Longgang District of Shenzhen City, Shenzhen 518120, Guangdong, CHINA
【Abstract】 Objective To explore the clinical effect of high ligation of the great saphenous vein combined
with endovenous electrocoagulation for treating varicose veins in the lower extremities. Methods 210 patients with
varicose veins in the lower extremity were randomly divided into the study group and the control group. Patients in the
control group received endovenous electrocoagulation, while those in the study group were treated with high ligation of
the great saphenous vein combined with endovenous electrocoagulation. Results The cure rate in the study group was
98.9%, significantly higher than 85.9% in the control group (P<0.05). 147 cases in the study group were found with
complications, significantly lower than 219 cases in the control group (P<0.05). The relapse of varicose veins and ulcer
occurred in one leg and 2 legs in the study group, respectively, significantly less than 9 legs and 13 legs in the control
group. The incidence of postoperative pain is significantly higher in the study group than the control group (P<0.05).
Conclusion For patients with varicose veins in the lower extremities, the combination of high ligation of the great sa-
phenous vein and endovenous electrocoagulation can effectively improve the clinical efficacy and the prognosis.
【Key words】 High ligation of the great saphenous vein; Endovenous electrocoagulation; Varicose veins in lower
extremity
作者简介:陆峻逵(1964—),男,甘肃省兰州市人,副主任医师,本科。
·临床研究·doi:10.3969/j.issn.1003-6350.2012.02.018

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