本文選題：大隱靜脈曲張 + STRIPP��； 參考：《福建中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：本課題旨在通過(guò)比較STRIPP'IN內(nèi)剝脫導(dǎo)管與腔內(nèi)激光治療大隱靜脈曲張的臨床療效及并發(fā)癥,觀察STRIPP'IN內(nèi)剝脫導(dǎo)管的臨床治療效果,并總結(jié)出STRIPP'IN內(nèi)剝脫導(dǎo)管治療大隱靜脈曲張的優(yōu)缺點(diǎn)、手術(shù)指征及注意事項(xiàng)。進(jìn)一步發(fā)現(xiàn)STRIPP'IN內(nèi)剝脫導(dǎo)管的不足,補(bǔ)充完善此項(xiàng)技術(shù)的相關(guān)研究。方法：1、選擇我院住院符合診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)的大隱靜脈曲張120例患者。隨機(jī)將其分為內(nèi)剝脫組(大隱靜脈高位結(jié)扎+內(nèi)剝脫+微靜脈切除術(shù))及對(duì)照組(大隱靜脈高位結(jié)扎+激光灼閉+微靜脈切除術(shù))二組各60例患者進(jìn)行治療。內(nèi)剝脫組大隱靜脈主干采用STRIPP'IN內(nèi)剝脫導(dǎo)管剝除,對(duì)照組采用半導(dǎo)體激光治療儀行大隱靜脈主干灼閉。最后根據(jù)手術(shù)時(shí)間、術(shù)中出血量、術(shù)后疼痛、術(shù)后創(chuàng)傷反應(yīng)、術(shù)后患者主觀感受變化及術(shù)后并發(fā)癥等判定患者療效及并發(fā)癥。2、借助統(tǒng)計(jì)學(xué)方法,比較二組的療效差別,從而總結(jié)出STRIPP'IN內(nèi)剝脫導(dǎo)管治療大隱靜脈曲張的優(yōu)缺點(diǎn)、手術(shù)指征及注意事項(xiàng)。進(jìn)一步發(fā)現(xiàn)STRIPP'IN內(nèi)剝脫導(dǎo)管的不足,補(bǔ)充完善此項(xiàng)技術(shù)的相關(guān)研究,從而提高臨床水平。結(jié)果：1、本次研究共收集120例患者(159條肢體),內(nèi)剝脫組60例(77條肢體),對(duì)照組60例(82條肢體),兩組患者在性別、年齡、分級(jí)構(gòu)成上差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),兩組數(shù)據(jù)具有可比性。2、STRIPP'IN內(nèi)剝脫導(dǎo)管與靜脈腔內(nèi)激光治療(Endovenous Laser Treatmeat, EVLT)在手術(shù)時(shí)間、術(shù)后臥床時(shí)間、皮下瘀血、皮膚灼傷、皮膚麻木感、深靜脈血栓發(fā)生、靜脈曲張復(fù)發(fā)、患者個(gè)人感覺(jué)變化上差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有簡(jiǎn)單、安全、創(chuàng)傷小、療效好等特點(diǎn)。3、內(nèi)剝脫組在皮下條索狀硬結(jié)及術(shù)后疼痛上優(yōu)于激光治療對(duì)照組,其差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。4、激光對(duì)照組在術(shù)中出血量上優(yōu)于內(nèi)剝脫治療組,其差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：STRIPP'IN內(nèi)剝脫導(dǎo)管治療與腔內(nèi)激光治療在主干處理上均具有療效確切、創(chuàng)傷小、操作簡(jiǎn)單的特點(diǎn)。STRIPP'IN內(nèi)剝脫導(dǎo)管治療可有效避免血栓性靜脈炎并發(fā)癥,并可減輕術(shù)后疼痛,提高患者滿(mǎn)意度。因此,該治療手段在大隱靜脈主干處理上有很好的應(yīng)用前景。
[Abstract]:Objective : To evaluate the clinical efficacy and complications of the treatment of large saphenous vein in patients with large saphenous vein by comparing the clinical efficacy and complications of the intraaortic ablation catheter with the intracavity laser in the treatment of 60 patients with large saphenous vein . The results showed that the treatment group was divided into two groups : internal stripping group ( high saphenous vein ligation + internal stripping + microvein resection ) and control group ( high saphenous vein high ligation + laser cauterization + microvein resection ) . Conclusion : In the treatment of intra - cavity laser therapy , it has the characteristics of exact curative effect , small trauma and simple operation . Conclusion : The treatment of intraaortic ablation catheter with P ' IN can effectively avoid the complications of thrombophlephlogistic , and can reduce postoperative pain and improve patient satisfaction . Therefore , the treatment has a good prospect in the treatment of large saphenous vein trunk .
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R654.4

【參考文獻(xiàn)】

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本文編號(hào)：1958124