腔镜深筋膜下交通静脉离断术治疗下肢静脉性溃疡  

Subfascial Endoscopic Perforater Vein Surgery in Treating Chronic Venous Ulceration of Lower Extremities

作　　者：邹忠东[1] 焦占江[1] 黎成金[1] 王烈[1] 

机构地区：[1]福州总医院南京军区普通外科,福建福州350025

出　　处：《中国临床医学》2010年第1期92-93,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨腔镜深筋膜下交通静脉离断术（SEPS）治疗下肢静脉性溃疡的效果。方法：2007年10月-2009年1月，21例下肢静脉性溃疡患者（23条患肢）实施SEPS加大隐静脉高位结扎并抽剥术，其中5条患肢另加行股静脉瓣膜外修补术，4条患肢另加行自体植皮术。结果：23条患肢经手术治疗后肢体症状及浅静脉曲张消失，溃疡愈合，未出现并发症，随访4～18个月，未出现新生溃疡及浅静脉曲张复发。结论：腔镜深筋膜下交通静脉离断术是治疗下肢静脉性溃疡的重要环节，治疗下肢静脉性溃疡安全有效，损伤少，并发症少，可减少下肢静脉性溃疡的复发。Objective： To study the clinical efficacy of subfascial endoscopic perforater vein surgery in treating venous ulceration of lower extremities. Methods： Between October 2007 and January 2009, 21 patients（23 limbs） with venous ulceration of lower extremities received SEPS and saphenofemoral high ligation with stripping vein, 5 limbs received external femoral vein valve re- pair, 4 limbs received autologous skin graft surgery. Results： Superficial varicose in 23 limbs had disappears in postoperative, no complications, follow up of from 4 to 18 months, there was no ulcer and superficial varicose recurrence. Conclusions： Sub- fascial endoscopic perforater vein surgery play an important part in treating venous ulceration of lower extremities, it is safe, effective, less injury and less complications, this approach may effectively reduce ulcer recurrence.

关 键 词：下肢静脉性溃疡 交通静脉 腔镜 

分 类 号：R632.1[医药卫生—外科学]