Objective To explore the feasibility and the security of one-day stay ward in stripping surgery of saphenous vein varicosity.
Methods Two hundred and eighty two patients treated in our hospital in 2011 were enrolled in this study, according to the operation mode, these patients were divided into 2 groups, ninety patients in one-day stay ward group and one hundred and ninety two patients in in-patient group. Their clinical features and medical operation indexs(included preoperative waiting time, duration of hospital stay, and medical cost)were retrospectively analyzed.
Results There was no statistical differences on clinical features between the two groups. But compared with in-patient group, the preoperative waiting time, duration of hospital stay, and medical cost were shorter or lower in one-day stay ward group (P<0.05).
Conclusions The one-day stay ward operation mode can decrease preoperative waiting time, duration of hospital stay and medical cost significantly, and it also can ensure the safety of clinical treatment. So it’s worthy in the clinical promotion.
Citation:
LIU Si,WU Zhoupeng,LUO Yanli. Feasibility of Stripping Surgery of Great Saphenous Vein Varicosity Performed in One-Day Stay Ward. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(10): 1110-1113. doi:
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1. |
中华人民共和国卫生部. 《中国卫生统计年鉴》[M]. 北京: 中国协和医科大学出版社, 2010: 4-1-1.
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2. |
中华人民共和国卫生部. 《中国卫生统计年鉴》[M]. 北京: 中国协和医科大学出版社, 2009: 5-1-1.
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3. |
安燚, 王振军. 日间手术的概念和基本问题[J]. 中国实用外科杂志, 2007, 27(1): 38-40.
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4. |
Golledge J, Quigley FG. Pathogenesis of varicose veins[J]. Eur J Vasc Endovasc Surg, 2003, 25(4):319-324.
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5. |
田野, 白超, 赛力克 马高维亚, 等. C5~6级大隐静脉曲张的手术治疗[J]. 中国普通外科杂志, 2011, 20(12): 1364-1367.
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6. |
张岩, 李苍秋, 权沛沛. 大隐静脉曲张手术治疗进展[J]. 临床医学, 2008, 28(4): 116-117.
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7. |
Weiss RA, Weiss MA. Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux:a 2-year follow-up[J]. Dermatol Surg, 2002, 28(1): 38-42.
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8. |
Min RJ, Zimmet SE, Isaacs MN, et al. Endovenous laser treatment of the incompetent greater saphenous vein[J]. J Vasc Interv Radiol, 2001, 12(10): 1167-1171.
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9. |
王春爱. 腔镜下行大隐静脉剥脱术致皮下气肿1例报道[J]. 中国普外基础与临床杂志, 2008, 15(8): 571.
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Eidson JL 3rd, Atkins MD, Bohannon WT, et al. Economic and outcomes-based analysis of the care of symptomatic varicose veins[J]. J Surg Res, 2011, 168(1): 5-8.
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11. |
Becker F. Current treatment of varicose veins[J]. Curr Treat Options Cardiovasc Med, 2006, 8(2): 97-103.
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12. |
张培华, 蒋米尔. 临床血管外科学[M]. 第2版. 北京: 科学出版社, 2007: 501-504.
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吴阶平, 裘法祖. 黄家驷外科学(上)[M]. 第5版. 北京: 人民卫生出版社, 1992:940.
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14. |
符洋, 黄建华, 李孝成, 等. 不同手术方法治疗大隐静脉曲张的临床对比分析[J]. 中国普通外科杂志, 2008, 17(6): 588-590.
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15. |
时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识[J]. 中国普外基础与临床杂志, 2009, 16(6):421-424..
|
16. |
周亚东, 刘晓晨, 豆发福, 等. 腔内激光+膝下经皮点状贯穿缝扎治疗大隐静脉曲张[J]. 中国普外基础与临床杂志, 2011, 18(9): 1003-1004.
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17. |
黄忠凤. 大隐静脉曲张剥脱术的围术期护理[J]. 中国现代药物应用, 2010, 04(23): 215-216.
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18. |
于文生, 费建平. 小切口点状抽剥加高位结扎术治疗下肢浅静脉曲张146例疗效观察[J]. 中国普外基础与临床杂志, 2012, 19(8): 874-875.
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19. |
王涛, 王国华, 徐永波, 等. 曲张大隐静脉管壁病理形态学特征研究[J]. 中国普外基础与临床杂志, 2011, 18(6): 663-665.
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20. |
Jones RH, Carek PJ. Management of varicose veins[J]. Am Fam Physician, 2008, 78(11): 1289-1294.
|
21. |
梁发启. 原发性大隐静脉曲张门诊病例分析[J]. 中华老年多器官疾病杂志, 2011, 10(2): 183-184.
|
22. |
Theivacumar NS, Darwood R, Gough MJ. Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux:a comparison of surgery and endovenous laser ablation[J]. Eur J Vasc Endovasc Surg, 2009, 38(2): 203-207.
|
23. |
罗超, 王晓天. 大隐静脉曲张术后恢复不良的原因分析[J]. 齐齐哈尔医学院学报, 2011, 32(17):2801-2802.
|
24. |
Bradbury A, Evans C, Allan P, et al. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey[J]. BMJ, 1999, 318(7180): 353-356.
|
25. |
张学红. 原发性大隐静脉曲张高位结扎并剥脱术治疗的护理[J]. 河南外科学杂志, 2011, 17(2):114-115.
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- 1. 中华人民共和国卫生部. 《中国卫生统计年鉴》[M]. 北京: 中国协和医科大学出版社, 2010: 4-1-1.
- 2. 中华人民共和国卫生部. 《中国卫生统计年鉴》[M]. 北京: 中国协和医科大学出版社, 2009: 5-1-1.
- 3. 安燚, 王振军. 日间手术的概念和基本问题[J]. 中国实用外科杂志, 2007, 27(1): 38-40.
- 4. Golledge J, Quigley FG. Pathogenesis of varicose veins[J]. Eur J Vasc Endovasc Surg, 2003, 25(4):319-324.
- 5. 田野, 白超, 赛力克 马高维亚, 等. C5~6级大隐静脉曲张的手术治疗[J]. 中国普通外科杂志, 2011, 20(12): 1364-1367.
- 6. 张岩, 李苍秋, 权沛沛. 大隐静脉曲张手术治疗进展[J]. 临床医学, 2008, 28(4): 116-117.
- 7. Weiss RA, Weiss MA. Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux:a 2-year follow-up[J]. Dermatol Surg, 2002, 28(1): 38-42.
- 8. Min RJ, Zimmet SE, Isaacs MN, et al. Endovenous laser treatment of the incompetent greater saphenous vein[J]. J Vasc Interv Radiol, 2001, 12(10): 1167-1171.
- 9. 王春爱. 腔镜下行大隐静脉剥脱术致皮下气肿1例报道[J]. 中国普外基础与临床杂志, 2008, 15(8): 571.
- 10. Eidson JL 3rd, Atkins MD, Bohannon WT, et al. Economic and outcomes-based analysis of the care of symptomatic varicose veins[J]. J Surg Res, 2011, 168(1): 5-8.
- 11. Becker F. Current treatment of varicose veins[J]. Curr Treat Options Cardiovasc Med, 2006, 8(2): 97-103.
- 12. 张培华, 蒋米尔. 临床血管外科学[M]. 第2版. 北京: 科学出版社, 2007: 501-504.
- 13. 吴阶平, 裘法祖. 黄家驷外科学(上)[M]. 第5版. 北京: 人民卫生出版社, 1992:940.
- 14. 符洋, 黄建华, 李孝成, 等. 不同手术方法治疗大隐静脉曲张的临床对比分析[J]. 中国普通外科杂志, 2008, 17(6): 588-590.
- 15. 时德, 赵渝. 下肢慢性静脉功能不全治疗的再认识[J]. 中国普外基础与临床杂志, 2009, 16(6):421-424..
- 16. 周亚东, 刘晓晨, 豆发福, 等. 腔内激光+膝下经皮点状贯穿缝扎治疗大隐静脉曲张[J]. 中国普外基础与临床杂志, 2011, 18(9): 1003-1004.
- 17. 黄忠凤. 大隐静脉曲张剥脱术的围术期护理[J]. 中国现代药物应用, 2010, 04(23): 215-216.
- 18. 于文生, 费建平. 小切口点状抽剥加高位结扎术治疗下肢浅静脉曲张146例疗效观察[J]. 中国普外基础与临床杂志, 2012, 19(8): 874-875.
- 19. 王涛, 王国华, 徐永波, 等. 曲张大隐静脉管壁病理形态学特征研究[J]. 中国普外基础与临床杂志, 2011, 18(6): 663-665.
- 20. Jones RH, Carek PJ. Management of varicose veins[J]. Am Fam Physician, 2008, 78(11): 1289-1294.
- 21. 梁发启. 原发性大隐静脉曲张门诊病例分析[J]. 中华老年多器官疾病杂志, 2011, 10(2): 183-184.
- 22. Theivacumar NS, Darwood R, Gough MJ. Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux:a comparison of surgery and endovenous laser ablation[J]. Eur J Vasc Endovasc Surg, 2009, 38(2): 203-207.
- 23. 罗超, 王晓天. 大隐静脉曲张术后恢复不良的原因分析[J]. 齐齐哈尔医学院学报, 2011, 32(17):2801-2802.
- 24. Bradbury A, Evans C, Allan P, et al. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey[J]. BMJ, 1999, 318(7180): 353-356.
- 25. 张学红. 原发性大隐静脉曲张高位结扎并剥脱术治疗的护理[J]. 河南外科学杂志, 2011, 17(2):114-115.