腰鼓式股浅静脉环缩术治疗下肢深静脉瓣膜功能不全  

Modified encircling constriction operation for treating primary deep venous insufficiency

作　　者：朱洪波[1] 明亮[1] 陈兆永[1] 周晓春[1] 王勇[1] 

机构地区：[1]江苏省连云港市第一人民医院东方医院普外科,222042

出　　处：《临床外科杂志》2008年第5期317-318,共2页Journal of Clinical Surgery

摘　　要：目的应用改良的腰鼓式浅静脉环缩术治疗原发性下肢静脉瓣膜功能不全,评价治疗效果。方法对原发性下肢深静脉瓣膜功能不全的25例患者(共29条下肢)进行股浅静脉瓣膜腰鼓式环缩手术。结果25例(29条患肢)近期症状和体征全部或基本消失,24例(28条患肢)瓣膜功能恢复至Kistner0～Ⅰ级,Ⅱ级1例,痊愈率96%(24/25),有效率100%(25/25)。结论腰鼓式股浅静脉瓣环缩术在缩窄扩张的股静脉同时,又可防止股静脉瓣窦部因静脉血的重力作用进一步扩张,是治疗深静脉瓣膜功能不全确切手段,结合术中造影可有效解决如何确定缩窄管径的大小及修复瓣膜的数目的难题。Objective To evaluate the curative effects of modified encircling constriction operation for treating primary deep venous insufficiency. Methods The clinical data of 25 cases （29 lower extremities） of primary deep venous insufficiency from March 1998 to December 2006 were analyzed retrospectively. All patients were subjected to modified encircling constriction operation. Results All the varicose veins were well controlled. The valve functions of the superficial femoral vein were restored in 24 cases （28 lower extremities）. Conclusion Modified encircling constriction operations are eutherapeutic for severe femoral venous valve dysfunction.

关 键 词：静脉曲张 股静脉瓣环缩术 静脉造影 

分 类 号：R654.4[医药卫生—外科学]