Trivex静脉旋切系统在下肢深静脉血栓形成后遗症静脉性皮肤溃疡中的应用  

Application of Potaried Technique with Trivex System in Treatment for Venous Skin Ulcer with Deep Venous Thrombosis Sequelae of Lower Limbs

作　　者：李国剑 杨国凯 何晓明 万嘉 马震寰 陆平 杨镛 

机构地区：[1]云南省血管外科中心,云南昆明650021

出　　处：《中国普外基础与临床杂志》2011年第1期48-50,共3页Chinese Journal of Bases and Clinics In General Surgery

基　　金：云南省自然科学基金(项目编号:2008CD205);云南省中青年学术与技术带头人后备人才资助项目(项目编号:2008PY044)~~

摘　　要：目的探讨Trivex静脉旋切系统在治疗下肢深静脉血栓形成后遗症(DVTS)继发静脉性皮肤溃疡的价值。方法选择下肢DVTS中继发静脉性皮肤溃疡患者166例,其中采用Trivex静脉旋切系统治疗(手术组)94例患者94条下肢,采用非手术治疗(非手术组)72例患者72条下肢,分别于术后或治疗后5、20、120和360 d观察2组患者皮肤感染率和坏死率、色素减退率和创面收缩率、溃疡愈合率及溃疡复发率6项临床指标。结果术后或治疗后5 d,2组患者均未出现皮肤感染和皮肤坏死;术后或治疗后20 d,手术组患者创面收缩率与色素减退率均显著高于非手术组〔(95.8±2.138)%比(68.7±3.125)%,P=0.048;(87.6±1.263)%比(12.3±1.324)%,P=0.018〕;术后或治疗后120 d,手术组患者溃疡愈合率明显高于非手术组(97.9%比8.3%,P=0.014);术后或治疗后360 d手术组患者溃疡复发率显著低于非手术组(5.3%比97.2%,P=0.015)。结论 Trivex静脉旋切系统可作为下肢DVTS继发静脉性皮肤溃疡的外科治疗方法之一。Objective To explore the value of potaried technique with Trivex system in treatment for venous skin ulcer with deep venous thrombosis sequelae（DVTS） of lower limbs.Methods Total 166 patients with venous skin ulcer with DVTS of lower limbs were included in this study.The patients of operation group（94 patients involving 94 legs） were treated by using potaried technique with Trivex system.The patients of nonoperation group（72 patients involving 72 legs） were treated by using nonoperative method.The clinical indexes of skin infection rate,skin necrosis rate,shrinkage rate of wound area,skin depigmentation rate,ulcer healing rate and ulcer recurrence rate were used to assess the clinical curative effect between two groups on 5,20,120 and 360 d after operation or treatment,respectively.Results There were no skin infection and skin necrosis in two groups on 5 d after operation or treatment.The rate of shrinkage of wound area and skin depigmentation of patients in operation group were significantly higher than those in nonoperation group on 20 d after operation or treatment（（95.8±2.138）% vs.（68.7±3.125）%,P=0.048;（87.6±1.263）% vs.（12.3±1.324）%,P=0.018）.The rate of the ulcer healing of patients in operation group was significantly higher than that in nonoperation group on 120 d after operation or treatment（97.9%vs.8.3%,P=0.014）.The rate of the ulcer recurrence of patients in operation group was significantly lower than that in nonoperation group on 360 d after operation or treatment（5.3% vs.97.2%,P=0.015）.Conclusion The potaried technique with Trivex system can be used as one of the surgical treatment methods for venous skin ulcer with DVTS of lower limbs.

关 键 词：Trivex静脉旋切系统 下肢深静脉血栓形成 后遗症 皮肤溃疡 手术治疗 

分 类 号：R654.4[医药卫生—外科学]