腰鼓式股静脉环缩术治疗静脉瓣膜功能不全25例分析  

Reformative encircling constriction combined with the retrograde venograms in 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]连云港市第一人民医院东方医院普外科,江苏省连云港222042

出　　处：《中国基层医药》2008年第4期629-630,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的评价腰鼓式股静脉瓣环缩术结合术中造影治疗下肢浅静脉曲张的疗效。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）经大隐静脉残端逆行造影，指导股浅静脉瓣膜腰鼓式环缩手术。结果股浅静脉瓣环缩术者下肢肿胀均好转，溃疡愈合，无深静脉血栓发生。结论腰鼓式股浅静脉瓣环缩术是治疗深静脉瓣膜功能不全较好手段，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 reformative encircling constriction combined with the retrograde venograms in operation for treating primary deep venous insufficiency. Methods The clinical data of 25 cases（29 lower extremities） undergoing primary deep venous insufficiency from March 1998 to December 2006 were analyzed retrospectively. 25 cases（29 lower extremities） were treated with reformative encircling constriction combined with the retrograde venograms in operations. Results 25 cases were treated with reformative encircling constriction combined with the retrograde venograms in operations, the leg swelling improved and no deep vein thrombus occurred; all the varicose veins are well controlled. Conclusion Reformative encircling constriction operations are eutherapeutic for severe femoral venous valve dysfunction, when combined with the retrograde venogram, it can be a guidance in encircling constriction of superficial femoral vein and number of femoral venous valves.

关 键 词：静脉曲张 血管外科手术 股静脉 静脉造影术 

分 类 号：R65[医药卫生—外科学]