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目的观察腔内激光闭合术联合高位结扎术治疗糖尿病并发大隐静脉曲张的疗效。方法选取江苏省无锡市第八人民医院2014年4月—2016年4月收治的糖尿病并发大隐静脉曲张患者40例,根据手术治疗方法的不同分为观察组(腔内激光闭合术联合高位结扎术)及对照组(高位结扎剥脱术),各20例。对比两组手术治疗效果。结果术后随访1年,两组溃疡愈合率、曲张复发率比较,差异无统计学意义(P>0.05);观察组隐神经损伤率低于对照组,差异有统计学意义(P<0.05)。结论腔内激光闭合术联合高位结扎术治疗糖尿病并发大隐静脉曲张疗效显著,手术创伤小,患者术后隐神经损伤少,复发情况少,安全有效。
Objective To observe the curative effect of endovascular laser closure combined with high ligation in the treatment of Diabetes mellitus complicated with saphenous vein. Methods Forty patients with diabetes mellitus complicated with saphenous vein varicosis were enrolled in the Eighth People’s Hospital of Wuxi City, Jiangsu Province from April 2014 to April 2016. According to the different surgical treatment methods, the patients were divided into observation group (intraluminal laser occlusion combined with high ligation Surgery) and control group (high ligation and stripping surgery), 20 cases in each. Comparison of two groups of surgical treatment. Results There was no significant difference in healing rate and recurrence rate of ulcer between the two groups (P> 0.05) after one year follow-up. The saphenous nerve injury rate in the observation group was lower than that in the control group (P <0.05) . Conclusion Intraluminal laser occlusion combined with high ligation is effective in treating diabetic patients with saphenous vein varicosity. The surgical trauma is small, the postoperative saphenous nerve is less damaged, the recurrence is less, and it is safe and effective.