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1、小切口联合钬激光治疗大隐静脉曲张的效果[摘要]目的观察小切口联合钬激光治疗大隐静脉曲张的临床效果。方法选择2011年1月～2013年1月秦皇岛市第二医院血管外科治疗的大隐静脉曲张患者256例（298条患肢），随机分为观察组和对照组，观察组128例（152条患肢），对照组128例（146条患肢）。观察组采用小切口联合钬激光微创治疗，对照组采用传统大隐静脉高位结扎加抽剥术。比较两组的治疗效果及并发症、1年复发率。结果观察组手术时间、术后下床活动时间、住院时间均短于对照组，差异有统计学意义（P0.05）。结论小切口联合钬激光治疗大隐静脉曲张手术创伤小，术后美观，
2、恢复快，同时应密切关注术后并发症，采取合理的预防和处理措施。[关键词]钬激光；大隐静脉曲张；并发症[中图分类号]R654.3[文献标识码]A[文章编号]1673-7210（2014）06（a）-0035-04EffectofsmallincisioncombinedwithholmiumlaserinthetreatmentofvaricosegreatsaphenousveinsHUJiangtao1ZHAOPing2MALi31.DepartmentofGeneralSurgery,theSecond11HospitalofQinhuangdaoCit
3、y,HebeiProvince,Qinhuangdao066600,China;2.DepartmentofCardiology,theSecondHospitalofQinhuangdao,HebeiProvince,Qinhuangdao066600,China;3.DepartmentofClinicalLaboratory,theSecondHospitalofQinhuangdaoCity,HebeiProvince,Qinhuangdao066600,China[Abstract]ObjectiveToobservetheclinicaleff
4、ectsofsmallincisioncombinedwithholmiumlaserinthetreatmentofvaricoseveins.Methods256cases(298limbs)patientswithvaricosisofgreatsaphenousveinfromJanuary2011toJanuary2013inDepartmentofVascularSurgery,theSecondHospitalofQinhuangdaoCitywereselectedandrandomlydividedintoobservationgroup
5、andcontrolgroup,128cases(152limbs)wereintheobservationgroup,128cases(146limbs)inthecontrolgroup.Theobservationgroupwastreatedwithsmallincisioncombinedwithholmiumlasertreatment,thecontrolgroupwastreatedwiththetraditionalhighligationandpumpingstrippingoperationongreatsaphenousvein.T
6、heclinical11effects,complicationsandrecurrencerateofthetwogroupswerecomparedrespectively.ResultsTheoperationtime,postoperativeambulationtime,hospitalizationtimeinobservationgroupwasshorterthanthoseofthecontrolgrouprespectively,thedifferenceswerestatisticallysignificant(P0.05).Conc
7、lusionThesmallincisioncombinedwithholmiumlasertreatmentforvaricosegreatsaphenousveinsoperationhaslittletrauma,postoperativeappearance,fasterpostoperativerecovery,atthesametime,itisrighttopaycloseattentiontothepostoperativecomplications,andadoptthereasonablepreventionandtreatmentme
8、asures. [Keywords]Holmiumlaser;V
