陆琰

[摘要] 目的 探究大隱静脉曲张应用高位结扎术联合点状剥脱术的临床效果。方法 该次研究对象方便选自2015年1月—2018年6月期间在该院接受治疗的76例患者，按照入院日期的单双号均分成实验组（n=38）和对照组（n=38），对照组行实行传统手术进行治疗，实验组实行高位结扎术联合点状剥脱术进行治疗，对比分析患者治疗后的效果。结果 实验组在术中出血量、手术用时、住院时间、下床活动时间上，全部优于对照组，组间差异有统计学意义（t=10.804，14.572，1.301，8.483；P=0.000）；实验组的总治疗有效率为92.31%，高于对照组的64.10%，组间差异有统计学意义（χ2=9.101，P=0.003）；实验组和对照组在VAS、CIVIQ、VCSS评分上，手术前差异无统计学意义（t=0.161，0.218，0.765；P=0.872，0.872，0.447），手术后差异有统计学意义（t=12.361，4.382，12.017；P=0.000）；在并发症总发生率上，实验组（7.69%）低于对照组为（25.64%），组间差异有统计学意义（χ2=4.523，P=0.033）。结论 对于大隐静脉曲张患者来说，应用高位结扎术联合点状剥脱术进行治疗的临床效果显著，手术操作简单，用时较短，并发症较少，存有较高的安全性，可有效提升患者术后康复速度。

[关键词] 点状剥脱术；高位结扎术；大隐静脉曲张；治疗有效率；并发症

[中图分类号] R543.6 [文献标识码] A [文章编号] 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.