| 腔镜筋膜下交通支离断术在下肢复杂性溃疡中的应用 |
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| 引用本文： | 甄庆强,刘艳芬,王玉涛,孙岩. 腔镜筋膜下交通支离断术在下肢复杂性溃疡中的应用[J]. 腹腔镜外科杂志, 2021, 26(4): 299-302,307 |
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| 作者姓名： | 甄庆强 刘艳芬 王玉涛 孙岩 |
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| 作者单位： | 济南市人民医院肝胆血管外科,山东 济南,271100;济南市人民医院儿科;济南市中医医院周围血管病科;山东第一医科大学附属省立医院血管外科 |
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| 基金项目： | 山东省中医药科技发展计划(2017-299);山东省中医药科技发展计划(2019-0303);山东省医药卫生科技发展计划(2018WS478);山东省医药卫生科技发展计划(2018WS273);济南市第二届优秀卫生计生人才培养项目(济卫科外发〔2018〕8号);济南市第三批“薪火传承231工程”培养项目(济中医药发〔2017〕11号);济南市卫生健康系统青年岗位能手培养项目(济卫发〔2019〕1号);济南市卫生健康委员会科技计划项目(2019-1-23)。 |
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| 摘 要： | 目的:对比腔镜筋膜下交通支离断术与交通静脉腔内激光闭合术治疗下肢动静脉复杂性溃疡的效果.方法:将2014年1月至2018年1月收治的131例动静脉复杂性溃疡患者随机分为治疗组(67例,83条肢体)与对照组(64例,89条肢体),治疗组采用腔镜筋膜下交通支离断术联合压迫疗法,对照组采用交通静脉腔内激光闭合术联合压迫疗法,...
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| 关 键 词： | 复杂性溃疡 筋膜下交通支离断术 内窥镜检查 交通静脉腔内激光闭合术 压迫疗法 |
Application of subfascial endoscopic perforator surgery in mixed etiology leg ulcer |
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| Affiliation: | (Department of Hepatobiliary and Vascular Surgery,Jinan City People’s Hospital,Jinan 271100,China;Department of Pediatrics,Jinan City People’s Hospital;Department of Peripheral Vascular Surgery,Jinan Municipal Hospital of Traditional Chinese Medicine) |
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| Abstract: | Objective:To investigate the effects of subfascial endoscopic perforator surgery(SEPS)and endovenous perforator laser treatment(EVPLT)in the treatment of mixed etiology leg ulcer(MELU).Methods:One hundred and thirty-one patients with MELU treated during Jan.2014 and Jan.2018 were separated into treating group(67 patients,83 limbs)and control group(64 patients,89 limbs)randomly.The patients in treating group received SEPS combined compression therapy while patients in control group received EVPLT combined compression therapy.The therapeutic effect of 2 groups were compared.Results:EVPLT had obvious superiority in reducing operation time[(26.05±5.76)min vs.(35.55±6.17)min,P<0.05]and bleeding[3.52(2.02-4.26)mL vs.6.47(5.30-8.24)mL,P<0.05],SEPS had remarkable effect in ulcer healing[(6.33±2.10)cm 2 vs.(10.41±4.02)cm 2],reducing venous clinical severity score[7(5-9)vs.8(6-10)]and enhancing patient’s daily life quality[(113.27±7.29)vs.(108.66±11.47)](P<0.05).Conclusions:SEPS and EVPLT combined compression therapy are reasonable plans in treating MELU,SEPS combined compression therapy is more effective. |
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| Keywords: | Mixed etiology ulcer Subfascial endoscopic perforator surgery Endoscopy Endovenous perforator laser treatment Compression therapy |
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