聚桂醇注射联合手术治疗下肢大隐静脉曲张的疗效观察

目的: 探讨泡沫硬化剂聚桂醇联合手术治疗下肢大隐静脉曲张的安全性及有效性。方法: 选择本院2010年10月至2011年5月间86例单侧下肢大隐静脉曲张的患者,随机分为A、B两组,每组43例。A组行大隐静脉高位结扎、主干剥脱,小腿曲张静脉内注射聚桂醇泡沫硬化剂。B组行传统大隐静脉曲张手术。结果: 86例患者均成功施行治疗。A组手术时间小于B组(P<0.01)。A组住院时间也小于B组(P<0.01)。术后随访半年,A组3例(6.9%)患肢出现局限的静脉曲张,B组2例(4.7%),复发率无明显差异(P>0.05)。结论: 聚桂醇注射联合手术治疗下肢静脉曲张安全、有效,较传统手术缩短了手术时间与患者住院时间。

Effect observation of foam sclerotherapy of lauromacrogol combined with surgery for great saphenous varicose veins

AIM: To evaluate the efficacy and safety of foam sclerotherapy of lauromacrogol combined with surgery for great saphenous varicose veins.METHODS: 86 patients with great saphenous varicose veins were randomized into 2 groups of A and B. Group A was treated by sapheno-femoral junction ligation and stripping of great saphenous veins. Verosis veins below the knee underwent foam sclerotherapy. Group B was treated by standard stripping of great saphenous veins.RESULTS: All treatments were completed as intended. The time of completing treatment and hospitalization were shorter in group A than those in group B(P<0.01). All patients were followed up 6 months with satisfactory outcomes except 3 patients in group A and 2 patients in group B with recurrence of varicose veins.CONCLUSION: Foam sclerotherapy of lauromacrogol combined with surgery for great saphenous varicose veins is safe and effective. Compared with traditional stripping operation, it has a shorter treatment and hospitalization time.