三种术式在治疗CEAP C3～C5级下肢静脉曲张的应用效果比较

doi:10.3969/j.issn.1674-7429.2016.01.013

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题名	三种术式在治疗CEAP C3～C5级下肢静脉曲张的应用效果比较
其他题名	Comparative research of the application effect of CEAP C3~C5 level varicose vein in lower extremity treated by three surgical procedures
作者	郑祥坚; 饶尚锐; 徐建敏
发表日期	2016
发表期刊	中国血管外科杂志（电子版）影响因子和分区
语种	中文
原始文献类型	Periodical
关键词	下肢静脉曲张微波腔内凝固术超声定位下泡沫硬化剂注射术疗效
其他关键词	Varicose vein in lower extremity ; Endovenous microwave treatment ; Foam sclerotherapy ; ultrasound- guided ; Therapeutic effect
摘要	目的：比较应用三种术式在 CEAP C3～C5级下肢静脉曲张治疗中的临床疗效。方法2013年6月至2014年6月，本院收治150例（共164条肢体）CEAP C3～C5级下肢静脉曲张患者，经患者知情同意采用三种治疗方法：微波（主干）＋泡沫硬化剂（属支）治疗（A 组，56条肢体）；微波（主干＋属支）治疗（B 组，55条肢体）；泡沫硬化剂（主干＋属支）治疗（C 组，53条肢体）。比较三组患者手术结果、术后并发症发生率，并对术前、术后1年CEAP分级、静脉严重程度评分（VCSS）等指标进行评分。结果三组在术中出血量、手术时间、术后下床时间、术后住院时间等比较差异无统计学意义（P＞0．05）。术后1年，B组肢体麻木、皮肤灼伤、皮下瘀血发生率较A、C组高，差异有统计学意义（P＜0．05）；C组在大隐静脉主干再通发生率较A、B组高，差异有统计学意义（P＜0．05）。三组的CEAP分级及VCSS评分较术前明显下降，差异有统计学意义（P＜0．05），但组间比较差异无统计学意义（P＞0．05）。结论采用微波处理主干联合泡沫硬化剂处理属支治疗CEAP C3～C5级下肢静脉曲张，能够提高患者的近中期疗效，减少术后复发率、肢体麻木、皮肤损伤等并发症发生率，提高患者的整体满意程度。
其他摘要	Objective To compare the application effect of CEAP C3~C5 level varicose vein in lower extremity treated by three surgical procedures. Methods One hundred and fifty patients (164 limbs) with CEAP C3~C5 level varicose vein in lower extremity treated in our hospital from June 2013 to June 2014 were divided into three groups according to patients' informed choice. The patients in group A (56 limbs) were treated by microwave (trunk) and foam sclerotherapy (branches). While the patients in group B (55 limbs) and group C were treated by microwave (trunk and branches) and foam sclerotherapy (trunk and branches), respectively. Surgical data and the complications were compared among three groups. CEAP classification and the venous clinical severity score (VCSS) were evaluated before operation and after 1-year operation. Results There were no significant differences in peri-operative bleeding, operative time, postoperative time out of bed and postoperative hospital stay among three groups (P0.05). One year after surgery, the incidences of limb numbness, skin burn and ecchymoma were obviously higher in group B than those in group A and group C (P<0.05). And the recanalization rate of great saphenous vein trunk was seriously higher in group C than group A and group B (P <0.05). After operation, CEAP classification and the scores of VCSS decreased significantly in three groups (P<0.05), but there were no significant differences between these three groups (P0.05). Conclusion Microwave treatment for the trunk and foam sclerotherapy for the branches can improve short- and midium-term efficacy of varicose vein patients with CEAP C3~C5 level, reduce postoperative recurrence rate, limb numbness and skin damage, and promote the overall satisfaction of patients.
ISSN	1674-7429
卷号	8 期号:1 页码:49-52,63
DOI	10.3969/j.issn.1674-7429.2016.01.013
页数	5
收录类别	万方 ; ISTIC
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文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/141568
专题	附属第二医院_血管外科
作者单位	温州医科大学附属定理临床学院暨温州市中心医院血管外科,浙江温州,325000
第一作者单位	温州医科大学
第一作者的第一单位	温州医科大学
推荐引用方式 GB/T 7714	郑祥坚,饶尚锐,徐建敏. 三种术式在治疗CEAP C3～C5级下肢静脉曲张的应用效果比较[J]. 中国血管外科杂志（电子版）,2016,8(1):49-52,63.
APA	郑祥坚, 饶尚锐, & 徐建敏. (2016). 三种术式在治疗CEAP C3～C5级下肢静脉曲张的应用效果比较. 中国血管外科杂志（电子版）, 8(1), 49-52,63.
MLA	郑祥坚,et al."三种术式在治疗CEAP C3～C5级下肢静脉曲张的应用效果比较".中国血管外科杂志（电子版） 8.1(2016):49-52,63.

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