目的：探讨微创点状剥脱术治疗大隐静脉曲张的疗效及安全性。方法：选取78例大隐静脉曲张患者作为研究对象，根据术式将上述研究对象分为观察组（47例）与对照组（31例），观察组采用微创点状剥脱术治疗，对照组采用高位结扎分段切除术治疗，对比分析两组患者的治疗效果及安全性。结果：①观察组手术时间[（32．7±4．5）min与（54．9±5．7）min]、术中出血量[（37±13） ml与（91±27） ml]、术后疼痛 VAS 评分[（1．4±0．3）分与（3．1±0．5）分]、术后住院天数[（7．2±1．4） d与（13．9±2．0） d]显著低于对照组（P＜0．05）。②手术前静脉临床严重程度（VC‐SS）评分均显著高于术后第2周末、术后第4周末（P＜0．05），生活质量调查表（CIVIQ）评分均显著低于术后第2周末、术后第4周末（P＜0．05）；术后第2周末的VCSS评分均显著高于术后第4周末（P＜0．05），CIVIQ评分均显著低于术后第4周末（P＜0．05）。术后第2周末、术后第4周末，观察组VCSS评分均显著的低于对照组（P＜0．05），CIVIQ评分均显著高于对照组（P＜0．05）。③两组术后并发症发生率分别为4．26％、22．58％，差异有统计学意义（ P＜0．05）。结论：微创点状剥脱术治疗大隐静脉曲张的疗效及安全性均显著优于大隐静脉高位结扎剥脱术。%Objective:To investigate the efficacy and safety of minimally invasive punctate stripping of long saphenous vein varicose disease .Methods:78 cases of varicosis of great saphenous vein disease according to the opera‐tion of the research object was divided into the observation group (47 cases) and control group (31 cases) ,the obser‐vation group with minimally invasive punctate stripping surgery ,the control group using high ligation of segmental resection now ,comparative analysis of the therapeutic effects and safety of the two groups of patients .Results:The operation time of the observation group [(32 .7 ± 4 .5) min vs (54 .9 ± 5 .7) min] ,the amount of intraoperative bleed‐ing [(37 ± 13) ml vs (91 ± 27) ml] ,postoperative pain score of VAS [(1 .4 ± 0 .3) vs (3 .1 ± 0 .5)% ] ,postoperative hospitalization number of days [(7 .2 ± 1 .4) d vs (13 .9 ± 2) d] were significantly lower than the control group ,the difference was statistically significant (P< 0 .05) .The incidence of postoperative complications in the observation group and control group were 4 .26% and 22 .58% ,respectively ,and the difference was statistically significant (P<0 .05) .Conclusion :Minimally invasive punctate stripping the efficacy and safety of long saphenous varicose vein dis‐ease are significantly better than those of the great saphenous vein high ligation and stripping .
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