彩超引导下无切口精准结扎联合硬化疗法治疗下肢静脉曲张患者的临床效果分析OA
Analysis on the Clinical Effect of Color Doppler Ultrasound-Guided Incision-Free Precise Ligation Combined with Sclerotherapy in the Treatment of Pa-tients with Lower Extremity Varicose Veins
目的 研究彩超引导下无切口精准结扎联合硬化疗法治疗下肢静脉曲张患者的临床效果.方法 选取商丘市中医院2022年8月至2024年8月收治的123例下肢静脉曲张患者作为研究对象,依据不同手术方法分为研究组(n=64)和对照组(n=59).研究组采用彩超引导下无切口精准结扎联合硬化疗法,对照组采用腔内射频消融联合硬化疗法.比较两组的临床疗效、围术期指标、凝血功能指标[凝血酶原时间(PT)、纤维蛋白原(FIB)、凝血酶时间(TT)]、症状与生活质量评分[静脉临床严重程度评分(VCSS)、慢性静脉功能不全生活质量问卷(CIVIQ)、视觉模拟评分法(VAS)]、术后并发症发生情况.结果 研究组的治疗总有效率为96.88％,高于对照组的84.75％(P＜0.05).与对照组相比,研究组的手术时间、住院时间较短,术中出血量、医疗费用较少(P＜0.05).术后1个月,研究组的PT长于对照组(P＜0.05),而两组的FIB、TT比较无显著差异(P＞0.05).术后1个月,研究组CIVIQ评分高于对照组,VCSS评分、VAS评分均低于对照组(P＜0.05).研究组的术后并发症总发生率为1.56％,低于对照组的13.56％(P＜0.05).结论 彩超引导下无切口精准结扎联合硬化疗法治疗下肢静脉曲张的临床效果显著,可减轻静脉临床严重程度,降低术后疼痛感,提高患者的生活质量,促进快速恢复.
Objective To investigate the clinical effect of color Doppler ultrasound-guided incision-free precise ligation combined with sclerotherapy in the treatment of patients with lower extremity varicose veins.Methods A total of 123 patients with lower extremity varicose veins admitted to Shangqiu Hospital of Traditional Chinese Medicine from August 2022 to August 2024 were enrolled as study subjects,and divided into the study group(n=64)and the control group(n=59)according to different surgical approaches.The study group received color Doppler ultrasound-guided incision-free precise ligation combined with sclerotherapy,while the control group received endovenous radiofrequency ablation combined with sclerotherapy.The clinical efficacy,perioperative indicators,coagulation function parameters[prothrombin time(PT),fibrinogen(FIB),thrombin time(TT)],symptom and quality of life scores[Venous Clinical Severity Score(VCSS),Chronic Venous Insufficiency Quality of Life Questionnaire(CIVIQ),Visual Analogue Scale(VAS)],and the occurrence of postoperative complications were compared between the two groups.Results The total treatment effective rate of the study group was 96.88％,higher than 84.75％of the control group(P＜0.05).Compared with the control group,the study group had shorter operation time and hospital stay,as well as less intraoperative blood loss and lower medical cost(all P＜0.05).At 1 month after surgery,PT in the study group was longer than that in the control group(P＜0.05),while there were no statistically significant differences in FIB and TT between the two groups(P＞0.05).At 1 month after surgery,the study group had the higher CIVIQ score,and lower VCSS score and VAS score than the control group(all P＜0.05).The total incidence of postoperative complications in the study group was 1.56％,lower than 13.56％in the control group(P＜0.05).Conclusions Color Doppler ultrasound-guided incision-free precise ligation combined with sclerotherapy in the treatment of lower extremity varicose veins has significant clinical efficacy,which can reduce the clinical severity of varicose veins,relieve postoperative pain,improve patients' quality of life,and promote rapid recovery.
任长德;马可可;张海东;赵玉鑫;李依明
商丘市中医院,河南商丘 476000商丘市中医院,河南商丘 476000商丘市中医院,河南商丘 476000商丘市中医院,河南商丘 476000商丘市第一人民医院,河南商丘 476100
医药卫生
下肢静脉曲张彩超引导无切口精准结扎硬化疗法临床效果凝血功能并发症
Lower extremity varicose veinUltrasound guidanceIncision-free precise ligationSclerotherapyClinical effectCoag-ulation functionComplication
《临床医学工程》 2026 (9)
1024-1028,5
2023年度商丘市科技发展指导性计划项目(商科[2023]25号-16)
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