摘要
目的观察大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡的临床效果。方法36例下肢静脉性溃疡，随机分为三组，A组（电凝术结合高压氧组）12例，B组（高压氧组）12例，C组（电凝术组）12例。手术方法：行大隐静脉电凝术，交通静脉瓣膜功能不全，采用改良的Linton手术，Ⅲ°以上反流者行戴戒术。结果愈合时间：A组（18．00±4．66）d，B组（28．20±6．42）d，C组（31．32±4．88）d。三组差异有统计学意义（F=8．93，P〈0．05）；A组与B组、C组差异均有统计学意义（q=4．62、7．81，均P〈0．01）；B组与C组差异有统计学意义（g=3．76，P〈0．05）。36例中29例获随访，随访时间6～40个月，下肢静脉曲张及溃疡均无复发。结论大隐静脉电凝术结合高压氧治疗下肢静脉性溃疡，溃疡愈合快，不易复发，是一种新型治疗方法，疗效肯定，值得推广。
Objective To observe the clinical effect of hyperbaric oxygen and electrocoagulation in the treatment of venous ulcers on legs. Methods 36 patients with venous ulcer on legs were divided into group A of 12 cases, group B of 12 cases and group C of 12 cases. Group A was treated by hyperbaric oxygen and electrocoagulation;group B was treated by hyperbaric oxygen;group C was treated by electrocoagulation. The operation method：every one had been performed electrocoagulation, and performed improved Linton operation if traffic vein valve had functional disorder,and performed wearing ring operation if vein reflux exceed Ⅲ°. Results The time of healing：group A was （ 18.00 ± 4. 66） days, group B was （28.20 ± 6.42） days and group C was （31.32± 4.88 ） days. The time was significantly different between the two groups（A and B,P 〈0.01 ;A and C,P 〈0.01 ;B and C,P 〈 0.05）. 29 cases had been investigated by 6 to 40 months,the venous ulcers on legs had no recurrence. Conclusion The treatment for venous ulcer on legs by hyperbaric oxygen and electrocoagulation was a new therapy which had advantage of healing quickly and less recurrence, It ought to be popularized.
出处
《中国基层医药》
CAS
2012年第3期349-350,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
电凝术
高压氧
静脉曲张溃疡
Electrocoagulation
Hyperbaric oxygenation
Varicose ulcer
