张劼

[摘要]目的 观察大隐静脉主干剥脱联合聚桂醇泡沫硬化剂治疗下肢静脉曲张的效果。方法 选取2015年6月～2017年6月在我院治疗的86例下肢静脉曲张患者作为研究对象，使用随机数字表法将其分为对照组和观察组，每组各43例。对照组实施大隐静脉剥脱术，观察组实施大隐静脉主干剥脱与聚桂醇泡沫硬化剂联合治疗。观察两组临床指标、治疗效果、并發症发生情况。结果 观察组术中出血量为（24.69±5.05）ml，少与对照组的（41.36±7.48）ml；手术时间为（32.76±3.98）min、住院时间为（6.21±0.52）d，短于对照组的（45.84±5.93）min、（7.69±0.87）d，差异均有统计学意义（P<0.05）；观察组并发症发生率为2.13%，低于对照组（17.02%），差异有统计学意义（P<0.05）；观察组有效率为95.74%，对照组有效率为89.36% ，两组比较差异无统计学意义（P>0.05）。结论 大隐静脉主干剥脱与聚桂醇泡沫硬化剂联合治疗下肢静脉曲张效果确切，可减少术后并发症，缩短患者术后身心恢复时间，并满足其对美容的需求。

[关键词]下肢静脉曲张；大隐静脉主干剥脱；聚桂醇泡沫硬化剂；并发症；临床效果

[中图分类号] R654.4 [文献标识码] A [文章编号] 1674-4721（2018）7（c）-0064-03

[Abstract] Objective To observe the effect of great saphenous vein stripping combined with lauromacrogol sclerosing foam in treatment of varicose vein of lower limb. Methods A total of 86 patients with varicose vein of lower limb treated in our hospital from June 2015 to June 2017 were selected， and they were divided into two groups by random number table method， 43 cases in each group. The control group was given great saphenous vein stripping， while the observation group was treated with great saphenous vein stripping combined with lauromacrogol sclerosing foam. The clinical indexes， curative effects， complications of two groups were observed. Results The intraoperative bleeding volume in observation group was （24.69±5.05） ml， was less than that in the control group of （41.36±7.48） ml， operation time， hospital stays in observation group were （32.76±3.98） min and （6.21±0.52） d， were shorter than thatose in the control group of （45.84±5.93） min and （7.69±0.87） d， with statistical differences （P<0.05）. The incidence of complication in the observation group （2.13%） was lower than that in the control group （17.02%）， and the difference statistical significance （P<0.05）. The effective rate of the observation group and the control group were 95.74% and 89.36%， there was no statistical difference between two groups （P>0.05）. Conclusion Great saphenous vein stripping combined with lauromacrogol sclerosing foam in treatment of varicose vein of lower limb is effective， it can reduce complications， shorten postoperative recovery time， satisfy patients′ cosmetic needs.

[Key words] Varicose vein of lower limb； Great saphenous vein stripping； Lauromacrogol sclerosing foam； Complications； Clinical efficacy

下肢静脉曲张为静脉系统中较为常见的疾病，中年男性、长期站立人群为其高发人群，多表现有患肢胀痛、浅静脉延长或扩张等症状，对患者正常生活、工作影响较大[1-3]。目前微创技术日益发展，其中该病的微创治疗已成为现今临床治疗热点，既往临床多采取大隐静脉高位结扎与分段剥脱术治疗，但该术式切口较多且手术时间长，对患者的机体健康危害性较大，临床应用存在一定的局限性，寻找一种高效的治疗手段以加速患者术后康复具有重要影响[4-5]。本研究观察大隐静脉主干剥脱与聚桂醇泡沫硬化剂联合治疗下肢静脉曲张的效果，现报道如下。……