超声引导下主干透皮缝扎及硬化疗法对大隐静脉曲张的疗效分析

Efficacy of ultrasound-guided percutaneous ligation of combined with sclerotherapy in treating great saphenous varicose

  • 摘要:
      目的  观察彩超引导透皮高位缝扎大隐静脉主干联合硬化剂注射对原发性大隐静脉曲张的临床疗效。
      方法  将28例单下肢接受彩超引导透皮高位缝扎大隐静脉主干联合硬化剂注射法的原发性大隐静脉曲张患者纳入观察组,将28例单下肢接受传统大隐静脉高位结扎抽剥术的原发性大隐静脉曲张患者纳入对照组,比较2组的治疗有效性、安全性及卫生经济学指标。
      结果  观察组半年主干闭合率为92.86%(26/28)、症状缓解率为96.43%(27/28),对照组则分别为100.00%、100.00%,2组差异无统计学意义(P>0.05);观察组术中出血量为(5.71±1.78)mL,少于对照组的(39.54±18.08)mL,差异有统计学意义(P<0.05);观察组并发症发生率为28.57%(8/28),对照组为35.71%(10/28),差异无统计学意义(P>0.05);观察组住院时间短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05)。
      结论  采用彩超引导透皮高位缝扎大隐静脉主干及硬化剂注射治疗原发性大隐静脉曲张,有效性高,安全性高,且住院时间短,治疗费用低。

     

    Abstract:
      Objective  To observe the treatment effect of ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection in treating primary great saphenous varicose.
      Methods  A total of 28 primary varicose veins cases undergoing ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection for single leg were selected as observation group, and 28 cases with primary varicose veins treated by conventional operations for single leg were selected as control group. The effectiveness, safety and socioeconomic indicators were compared and analyzed.
      Results  The half-year venous trunk cosure rate and symptom remission rate were 92.86%(26/28) and 96.43%(27/28), respectively in the observation group, were 100.00% and 100.00%, respectively in the control group, but no significant differences were found between two groups(P>0.05). The intraoperative blood loss in the observation group was (5.71±1.78) mL, which was significantly less than (39.54±18.08) mL in the control group(P<0.05). The incidence of complications was 28.57%(8/28) in the observation group and 35.71%(10/28) in the control group, and the difference was not statistically significant(P>0.05). The length of hospital stay in the observation group was shorter than that in the control group, and the cost of hospital stay in the observation group was less than that in the control group, the differences were statistically significant (P<0.05).
      Conclusion  Ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection in treating primary great saphenous varicose has higher efficacy and safety, shorter length of hospital stay, and lower cost of treatment.

     

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