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dai yao sha bu xue guan chuang tian sai gai liang da yin jing mai nei fan bao tuo +muller shu lin chuang ying yong guan cha
Author(s): 
Pages: 152-154
Year: Issue:  2
Journal: Modern Practical Medicine

Keyword:  纱布填塞大隐静脉静脉曲张;
Abstract: 目的 探讨带药纱布血管床填塞改良内翻剥脱+点状抽剥术(Muller术)治疗大隐静脉(GSV)曲张的临床应用效果.方法 收集原发性GSV曲张患者324例,随机分为治疗组165例和对照组159例,治疗组采用带药纱布血管床填塞改良内翻剥脱+Muller术,对照组采用传统大隐静脉高位结扎内翻剥脱+Muller术,两组中合并交通支返流及静脉分类为(CEAP)Ⅵ级的患者加行腔镜下交通支离断术(SEPS).结果 两组GSV一次抽剥成功数、手术时间及首次下床活动时间差异均有统计学意义(均P<0.05);两组术中失血量、术后皮下出血及术后疼痛评分差异均有统计学意义(均P< 0.05).结论 带药纱布血管床填塞改良大隐静脉内翻剥脱+Muller术治疗GSV曲张成功率高、效果好,值得临床应用推广.
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