摘要
目的回顾性分析曲张静脉微创刨吸术与同期开展点式曲张静脉剥脱法的手术疗效。方法 39例 (46条肢体 )静脉曲张患者 ,在硬膜外或腰麻下 ,采用TriVex系统刨刀 ,在带灌注冷光源导引下 ,行微创刨吸曲张静脉切除术 ;同期选择手术前条件相似的 4 6条肢体 ,采用点式静脉剥脱术行曲张静脉切除术。结果TriVex手术患者术后住院时间为 2～ 12d ,平均 4 6d ,点式剥脱术后平均8 1d ;TriVex手术较点式剥脱术的切口数少、创口小。结论TriVex术与点式剥脱术相比 ,能去除曲张静脉而又减小手术创伤。
ObjectiveTo compare the therapeutic effects of a new surgical endoscopic technique, the transilluminated powered phlebectomy (TriVex System, Smith+Nephew) and pointed phlebectomy in the treatment of varicosis of the great saphenous vein of the lower limbs. Methods Thirty-nine patients (46 limbs) received TriVex operations under spinal, or epidural anesthesia. The powered vein resector and an irrigated illuminator device-a minimally invasive system was used for varicose vein surgery. During the same period, 41 patients (46 limbs) underwent pointed phlebectomy. Results The average postoperative hospital stay was 4.6 days in patients receiving TriVex, and 8.1 days for pointed phlebectomy. Compared with the pointed phlebectomy, the incision of TriVex procedure was shorter and the number less. Conclusion This new surgical device is easy to operate, minimally invasive, efficacious and time saving with satisfactory results.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第9期530-531,共2页
Chinese Journal of General Surgery
