Feasibility analysis of preserving great saphenous vein lap trunk line in varicosity operation

doi:10.3877/cma.j.issn.1674-0793.2016.06.015

Abstract

Abstract:

Objective

To explore the feasibility of reserveing great saphenous varicose veins lap in varicosity operation.

Methods

Sixty cases with great saphenous vein varices from August 2013 to October 2014 were enrolled and evenly divided into two groups. Thirty cases of different clinical stages in trial group underwent surgical high stripping and ligation with preserving great saphenous varicose veins line. The control group were given routine traditional great saphenous vein high ligation+ stripping. The two groups were followed-up for prognosis and data analysis.

Results

The trial group had statistically significant differences in pain score, operation time, blood loss, hospital stay, and indexes of hematoma than the control group (t=3.268, 4.325, 5.670, 5.931, χ²=3.547, P<0.01), and deep vein thrombosis, phlebitis, recurrence rate, vascular endothelial growth factor (VEGF), interleukin-1 (IL-1) showed no significant differences. The trial group showed slower post-operative blood flow velocity (t=10.87, P<0.01), while its diameter, patency rate, valve function, and concurrent blood clots had no significant difference compared with preoperative ones.

Conclusions

Keeping great saphenous vein lap backbone shows no statistically significant differences in the incidence of postoperative complications. Because of retaining the great saphenous vein trunk, it provides the choice of diversity for the great saphenous varicose veins on preserving blood vessel bank.

Key words: Varicose veins, Ligation, Venous thrombosis, Phlebitis, Postoperative complications

Zhaojun Fu, Jian Wei, Yuhui Yang, Chen Zhang. Feasibility analysis of preserving great saphenous vein lap trunk line in varicosity operation[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(06): 445-448.

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References 14

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组别	手术时间（min, ± s)	出血量（ml, ± s)	住院时间（d， ± s）	血肿（例）	DVT（例）	静脉炎（例）	复发（例）	VEGF（μg/L， ± s）	IL-1（μg/L， ± s）
试验组	34±18.2	19±17.3	5±2.4	2	0	2	1	0.55±0.13	0.066±0.028
对照组	45±23.6	38±21.6	7±3.6	6	1	1	0	0.53±0.12	0.072±0.034
统计值	4.325^a	5.670^a	5.931^a	3.547^b	1.631^b	0.626^b	0.379^b	0.641^a	1.735^a
P值	<0.01	<0.01	<0.01	<0.01	>0.05	>0.05	>0.05	>0.05	>0.05

组别	手术时间（min, ± s)	出血量（ml, ± s)	住院时间（d， ± s）	血肿（例）	DVT（例）	静脉炎（例）	复发（例）	VEGF（μg/L， ± s）	IL-1（μg/L， ± s）
试验组	34±18.2	19±17.3	5±2.4	2	0	2	1	0.55±0.13	0.066±0.028
对照组	45±23.6	38±21.6	7±3.6	6	1	1	0	0.53±0.12	0.072±0.034
统计值	4.325^a	5.670^a	5.931^a	3.547^b	1.631^b	0.626^b	0.379^b	0.641^a	1.735^a
P值	<0.01	<0.01	<0.01	<0.01	>0.05	>0.05	>0.05	>0.05	>0.05

项目	直径（mm, ± s)	血流速度（mm/s, ± s)	隐股瓣^c（例）	血栓形成（例）	通畅度（例）
术前	4.6±1.8	12±3.6	11	0	30
术后1年	4.5±1.9	5±3.1	13	1	28
统计值	0.203^a	10.87^a	-1.017^b	-0.102^b	0.531^b
P值	>0.05	<0.01	>0.05	>0.05	>0.05

项目	直径（mm, ± s)	血流速度（mm/s, ± s)	隐股瓣^c（例）	血栓形成（例）	通畅度（例）
术前	4.6±1.8	12±3.6	11	0	30
术后1年	4.5±1.9	5±3.1	13	1	28
统计值	0.203^a	10.87^a	-1.017^b	-0.102^b	0.531^b
P值	>0.05	<0.01	>0.05	>0.05	>0.05

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