| 唐建洪.筋膜下穿通静脉断离与泡沫硬化剂联合治疗小腿溃疡患者临床效果观察[J].浙江中西医结合杂志,2019,29(2): |
| 筋膜下穿通静脉断离与泡沫硬化剂联合治疗小腿溃疡患者临床效果观察 |
| Clinical effect of subfascial perforation and foam sclerotherapy on leg ulcer patientsTang Jianhong Yiwu Fuyuan private hospital, Pu out 322000 |
| 投稿时间：2018-05-18 修订日期：2018-12-28 |
| DOI： |
| 中文关键词: 筋膜下穿通静脉断离联 泡沫硬化剂 小腿溃疡 |
| 英文关键词:subfascial perforating vein disconnection foam sclerosing agent leg ulcer |
| 基金项目: |
|
| 摘要点击次数: 797 |
| 全文下载次数: 2 |
| 中文摘要: |
| 目的：探讨筋膜下穿通静脉断离与泡沫硬化剂联合治疗小腿溃疡患者临床效果。方法：选自我院于2017年1月至2018年1月期间收治的小腿溃疡患者81例,按照随机表法分为观察组42例与对照组39例。对照组采用传统大隐静脉剥脱术治疗,观察组采用筋膜下穿通静脉断离与泡沫硬化剂联合治疗。比较两组术后恢复时间、术后愈合和术后并发症,及术前和术后VAS评分、静脉水肿、静脉曲张和色素沉着积分变化。结果：观察组术后恢复时间快于对照组,且有统计学差异(P<0.05)；而两组术后愈合比较无统计学差异(P>0.05)。观察组术后并发症发生率(7.14%)低于对照组(30.77%),且有统计学差异(P<0.05)。两组术后VAS评分降低(观察组：t=22.295,对照组：t=13.795,P<0.05)；观察组术后VAS评分低于对照组(t=10.748,P<0.05)。两组术后静脉水肿、静脉曲张和色素沉着积分降低(观察组：t=16.275、19.632、33.676,对照组：t=7.898、12.035、20.266,P<0.05)；观察组术后静脉水肿、静脉曲张和色素沉着积分低于对照组(t=10.650、12.150、16.365,P<0.05)。结论：筋膜下穿通静脉断离与泡沫硬化剂联合治疗小腿溃疡患者临床效果显著,值得临床借鉴。 |
| 英文摘要: |
| Objective: To investigate the clinical effect of subfascial perforation and foam sclerotherapy in the treatment of leg ulcer. Methods: 81 patients with leg ulcers admitted to our hospital from January 2017 to January 2018 were randomly divided into observation group (42 cases) and control group (39 cases). The control group was treated with traditional great saphenous vein stripping. The observation group was treated with subfascial perforating vein and foam sclerotherapy. The postoperative recovery time, postoperative healing and postoperative complications were compared between the two groups, and the changes of VAS scores, venous edema, varicose veins and pigmentation integration were observed before and after the operation. Results: the recovery time of the observation group was faster than that of the control group, and there was statistical difference (P<0.05), but there was no significant difference in healing between the two groups (P>0.05). The incidence of postoperative complications (7.14%) in the observation group was lower than that in the control group (30.77%), and the difference was statistically significant (P<0.05). The VAS scores of the two groups were reduced (the observation group: t=22.295, the control group: t=13.795, P<0.05), and the VAS score in the observation group was lower than that of the control group (t=10.748, P<0.05). The scores of venous edema, varicose veins and pigmentation in the two groups were reduced (the observation group: t=16.275, 19.632, 33.676, control group: t=7.898, 12.035, 20.266, P<0.05), and the scores of venous edema, varicose and pigmentation in the observation group were lower than those in the control group (t=10.650, 12.150, 16.365, P<0.05). Conclusion: subfascial perforation and foam sclerotherapy are effective in treating leg ulcers, which is worthy of clinical reference. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
