内镜下交通支结扎治疗下肢复发性静脉性溃疡  

Subfascial endoscopic perforator surgery for the treatment of recurrent venous ulcer

作　　者：钱建中[1] 张海峰[1] 金凯[1] 

机构地区：[1]温州医学院附属第三医院普外一科,浙江温州325200

出　　处：《中国普通外科杂志》2006年第5期343-344,共2页China Journal of General Surgery

摘　　要：目的 探讨内镜深筋膜下结扎交通支治疗下肢复发性静脉性溃疡的疗效。方法 手术治疗50例（56条）下肢复发性静脉性溃疡患者，行内镜下交通支静脉离断术，对术后溃疡愈合情况进行1～3年随访。结果 55条下肢溃疡在10～49d内愈合，1条90d未愈，行小隐静脉高位结扎术后溃疡愈合。随访1-3年，6个月后复发1例，抗炎换药后愈合。18个月后2条复发，再行小隐静脉高位结扎术后溃疡愈合。结论 腔镜深筋膜下交通支静脉结扎术安全有效，损伤小，并发症少．是治疗下肢复发性静脉性溃疡较为有效的方法。Objective To evaluate treatment of recurrent venous ulcer. the effect of subfascial endoscopic Methods SEPS Was preformed perforator surgery （SEPS） for the on 56 limbs with recurrent venous ulcer, and ulcer healing was assessed at follow up. Results Fifty-five limb ulcers healed in 10 -49 days, one limb ulcer was not healed after 90 days , but healed after ligation of lesser saphenous vein. The patients were followed up for 1 to 3 years, 1 case recurred after 6 months and it healed with antibiotic treatment; 2 cases recurred after 18 months, and both healed after high ligation of lesser saphenous vein. Conclusions SEPS is effective and safe in the treatment of recurrent venous ulcer. SEPS is minitraumatic with few complications.

关 键 词：静脉曲张溃疡/外科学 内镜下交通支结扎术 

分 类 号：R364.16[医药卫生—病理学] R543.6[医药卫生—基础医学]