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静脉曲张手术后肢体压迫以减少出血

Postoperative limb compression in reduction of haemorrhage after varicose vein surgery.

作者信息

Travers J P, Rhodes J E, Hardy J G, Makin G S

机构信息

Department of Human Morphology, Queen's Medical Centre, Nottingham.

出版信息

Ann R Coll Surg Engl. 1993 Mar;75(2):119-22.

PMID:8386491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2497785/
Abstract

In varicose vein surgery, significant postoperative morbidity results from subcutaneous haematoma formation and limb swelling after saphenous vein stripping. We investigated the effectiveness of a high-compression short-stretch adhesive bandage compared with non-adhesive crêpe in reducing haemorrhage after stripping of varicose veins. Using 99mTc-labelled red blood cells, the degree of postoperative bleeding was assessed in 10 patients with bilateral varicose veins allocated for stripping and ligation. High-compression adhesive bandaging was applied to the experimental limb and a non-adhesive bandage to the contralateral control limb. Results show that adequate compression bandaging can decrease subcutaneous haematoma formation after stripping of varicose veins.

摘要

在静脉曲张手术中,大隐静脉剥脱术后的皮下血肿形成和肢体肿胀会导致显著的术后发病率。我们研究了高压缩短拉伸粘性绷带与非粘性绉布绷带相比,在减少静脉曲张剥脱术后出血方面的有效性。使用99mTc标记的红细胞,对10例接受双侧静脉曲张剥脱和结扎手术的患者术后出血程度进行了评估。将高压缩粘性绷带应用于试验侧肢体,对侧对照肢体应用非粘性绷带。结果表明,适当的加压包扎可减少静脉曲张剥脱术后皮下血肿的形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ac/2497785/f8c4ecb5dde2/annrcse01580-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ac/2497785/f8c4ecb5dde2/annrcse01580-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ac/2497785/f8c4ecb5dde2/annrcse01580-0060-a.jpg

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1
Postoperative limb compression in reduction of haemorrhage after varicose vein surgery.静脉曲张手术后肢体压迫以减少出血
Ann R Coll Surg Engl. 1993 Mar;75(2):119-22.
2
Multicenter randomized trial comparing compression with elastic stocking versus bandage after surgery for varicose veins.多中心随机临床试验比较手术后使用弹性袜与绷带对静脉曲张的压迫效果。
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引用本文的文献

1
Black holes in compression therapy: A quest for data.压缩治疗中的黑洞:对数据的追求。
J Vasc Surg Venous Lymphat Disord. 2024 Mar;12(2):101733. doi: 10.1016/j.jvsv.2023.101733. Epub 2023 Dec 12.
2
Morbidity of varicose vein surgery: auditing the benefit of changing clinical practice.静脉曲张手术的发病率:评估改变临床实践的益处。
Ann R Coll Surg Engl. 1996 Jul;78(4):345-9.

本文引用的文献

1
Effect of Tween 80 on the morphology and physiology of Lactobacillus salivarius strain IV CL-37 grown in a chemostat under glucose limitation.吐温80对在恒化器中葡萄糖受限条件下生长的唾液乳杆菌IV CL-37形态和生理的影响。
J Gen Microbiol. 1980 Jul;119(1):195-201. doi: 10.1099/00221287-119-1-195.
2
How long do compression bandages maintain their pressure during ambulatory treatment of varicose veins?在静脉曲张的门诊治疗中,加压绷带能保持其压力多长时间?
Br J Surg. 1980 Feb;67(2):122-4. doi: 10.1002/bjs.1800670215.
3
A random controlled trial of two forms of compression bandaging in outpatient sclerotherapy of varicose veins.
两种形式的加压包扎用于门诊静脉曲张硬化治疗的随机对照试验。
J Surg Res. 1981 Nov;31(5):440-5. doi: 10.1016/0022-4804(81)90084-6.
4
The duration of bleeding following varicose vein stripping.静脉曲张剥脱术后的出血持续时间。
Clin Phys Physiol Meas. 1983 Feb;4(1):85-7. doi: 10.1088/0143-0815/4/1/011.
5
Saphenous vein stripping and its complications.大隐静脉剥脱术及其并发症。
Surg Clin North Am. 1983 Dec;63(6):1303-12. doi: 10.1016/s0039-6109(16)43190-7.
6
Support hose and varicose veins.弹力袜与静脉曲张
Br Med J (Clin Res Ed). 1985 Jan 19;290(6463):204. doi: 10.1136/bmj.290.6463.204.
7
Varicose veins: optimum compression after surgery and sclerotherapy.静脉曲张:手术和硬化治疗后的最佳压迫治疗
Ann R Coll Surg Engl. 1989 Nov;71(6):402-4.
8
Clean up varicose vein surgery--use a tourniquet.改进静脉曲张手术——使用止血带。
Ann R Coll Surg Engl. 1989 Jan;71(1):57-8.
9
Varicose veins: optimum compression after surgery and sclerotherapy.静脉曲张:手术及硬化治疗后的最佳压迫疗法
Ann R Coll Surg Engl. 1990 Mar;72(2):148.
10
Venous stasis and vein lumen changes during surgery.手术过程中的静脉淤滞和静脉管腔变化。
Br J Surg. 1990 Sep;77(9):1055-9. doi: 10.1002/bjs.1800770933.