摘要
目的探讨驱血带和止血带在下肢浅静脉曲张手术中的应用价值。方法将226条静脉曲张肢体分为应用驱血带和止血带组(驱血带组,122条肢体)及不用驱血带和止血带组(常规组,104条肢体),前者将肢体驱血后于大腿上部扎止血带后再行手术。两组均采用大隐静脉高位结扎和曲张静脉点状抽剥术,术后常规予弹力绷带加压包扎。记录两组的手术时间、术中出血量、术后肢体肿胀情况、皮下血肿发生情况、肢体活动和皮肤感觉障碍情况。结果驱血带组手术时间[(38±13)min]较常规组[(63±26)min)明显缩短(P<0.05),驱血带组术中出血量[(38±11)ml]较常规组[(226±21)ml]明显减少(P<0.05),两组皮下血肿发生情况、术后肢体肿胀情况、肢体活动和皮肤感觉障碍情况的差异无显著性。结论驱血带和止血带在下肢浅静脉手术中可创造“无血手术野”,显著缩短手术时间和减少术中出血量,且未见相关并发症。下肢浅静脉手术中应用驱血带和止血带是一种值得推广的简便、经济、实用的方法。
Objective To appraise the value of exsanguination band and tourniquet in the operation of superficial varicose veins of lower limbs.Methods 226 limbs with superficial varicose veins were divided into treated group and control group. In the treated group, the diseased limb was exsanguinated and blocked with tourniquet, then high level ligation and spot-striping surgery were carried out. In the control group, the same operation was carried out but without exsanguinations and tourniquet. The operation duration, intraoperative bleeding volume, limb edema, subcutaneous hematoma, limb motion, numbness were recorded. Results Comparing with the control group, the duration of operation was greatly shortened [(38±13) min vs (63±26) min],the intraoperative bleeding volume was significantly reduced [(38±11) ml vs (226±21) ml]. There were no obvious differences among the subcutaneous hematoma, limb edema, limb motion and numbness. Conclusions The use of exsanguination band and tourniquet in the operation of superficial varicose veins of lower limbs. Could achieve short operative duration, less bleeding and complications. It is simple, economical, practical and worthy to be recommended.
出处
《上海医学》
CAS
CSCD
北大核心
2005年第5期387-389,共3页
Shanghai Medical Journal
基金
上海市青年科技启明星计划(04QMX1439)
上海市优秀青年医学人才培养计划资助项目
