陸琰

[摘要] 目的 探究大隱靜脈曲張應(yīng)用高位結(jié)扎術(shù)聯(lián)合點(diǎn)狀剝脫術(shù)的臨床效果。方法 該次研究對象方便選自2015年1月—2018年6月期間在該院接受治療的76例患者，按照入院日期的單雙號均分成實(shí)驗(yàn)組（n=38）和對照組（n=38），對照組行實(shí)行傳統(tǒng)手術(shù)進(jìn)行治療，實(shí)驗(yàn)組實(shí)行高位結(jié)扎術(shù)聯(lián)合點(diǎn)狀剝脫術(shù)進(jìn)行治療，對比分析患者治療后的效果。結(jié)果 實(shí)驗(yàn)組在術(shù)中出血量、手術(shù)用時、住院時間、下床活動時間上，全部優(yōu)于對照組，組間差異有統(tǒng)計學(xué)意義（t=10.804，14.572，1.301，8.483；P=0.000）；實(shí)驗(yàn)組的總治療有效率為92.31%，高于對照組的64.10%，組間差異有統(tǒng)計學(xué)意義（χ2=9.101，P=0.003）；實(shí)驗(yàn)組和對照組在VAS、CIVIQ、VCSS評分上，手術(shù)前差異無統(tǒng)計學(xué)意義（t=0.161，0.218，0.765；P=0.872，0.872，0.447），手術(shù)后差異有統(tǒng)計學(xué)意義（t=12.361，4.382，12.017；P=0.000）；在并發(fā)癥總發(fā)生率上，實(shí)驗(yàn)組（7.69%）低于對照組為（25.64%），組間差異有統(tǒng)計學(xué)意義（χ2=4.523，P=0.033）。結(jié)論 對于大隱靜脈曲張患者來說，應(yīng)用高位結(jié)扎術(shù)聯(lián)合點(diǎn)狀剝脫術(shù)進(jìn)行治療的臨床效果顯著，手術(shù)操作簡單，用時較短，并發(fā)癥較少，存有較高的安全性，可有效提升患者術(shù)后康復(fù)速度。

[關(guān)鍵詞] 點(diǎn)狀剝脫術(shù)；高位結(jié)扎術(shù)；大隱靜脈曲張；治療有效率；并發(fā)癥

[中圖分類號] R543.6 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2019）02（b）-0034-03

Analysis of the Effect of Punctate Exfoliation Combined with High Ligation in the Treatment of Great Saphenous Vein

LU Yan

Department of Surgery， Haimen Fourth People's Hospital， Haimen， Jiangsu Province， 226141 China

[Abstract] Objective To investigate the clinical effect of high ligation combined with point exfoliation in the treatment of great saphenous vein. Methods All the subjects in this study were selected from 76 patients who were convenient treated in the hospital from January 2015 to June 2018. The single and double numbers according to the date of admission were divided into experimental group （n=38） and control group （n= 38）. The control group was treated with traditional surgery. The experimental group was treated with high ligation combined with point exfoliation. The effect of the patients after treatment was compared and analyzed. Results In the experimental group， the intraoperative blood loss， operation time， hospitalization time， and time of getting out of bed were all better than the control group. The difference between the groups was statistically significant （t=10.804， 14.572， 1.301， 8.843； P=0.000）. The total effective rate of the experimental group was 92.31%， which was higher than 64.10% of the control group. The difference between the groups was statistically significant （χ2=9.101， P=0.003）. The experimental group and the control group were on the VAS， CIVIQ and VCSS scores. There was no significant difference before operation （t=0.161， 0.218， 0.765； P=0.872， 0.872， 0.447）. The difference was statistically significant after surgery （t=12.361， 4.382， 12.017； P=0.000）； The incidence rate was lower in the experimental group （7.69%） than in the control group （25.64%）， and the difference between the groups was statistically significant （χ2=4.523， P=0.033）. Conclusion For patients with saphenous varices， the clinical effect of high ligation combined with point sparing is significant. The operation is simple， the operation time is short， the complications are less， and the safety is high， which can effectively improve the rate of recovery after surgery.