腔镜深筋膜下交通支离断治疗下肢静脉性溃疡  

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

作　　者：胡俊顶[1] 孙善林[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,236000

出　　处：《中华全科医学》2011年第6期856-857,共2页Chinese Journal of General Practice

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优点、疗效和临床意义。方法 2008年1月-2010年1月,12例下肢静脉性溃疡患者（16条患肢,按CEAP临床分级均为C6）实施SEPS加大隐静脉高位结扎并抽剥术（12条患肢伴有下肢大隐静脉曲张行高扎＋抽剥术,4条患肢入院前已行大隐静脉抽剥术）,低分子肝素钙抗凝2～3 d。结果 16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2～12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,改善皮肤营养障碍。Objective To study the advantages and clinical efficacy of subfascial endoscopic perforater vein surgery in treating venous ulceration of lower extremities.Methods Between January 2008 and January 2010,12 patients（16 limbs,CEAP：C6） with venous ulceration of lower extremities received SEPS and saphenofemoral high ligation with strip-ping great saphenous vein（12 limbs received saphenofemoral high ligation with strip-ping great saphenous vein,4 limbs had received before admission）,low molecular weight heparin anticoagulation was used for 2 to 3 days.Results Superficial varicose in 16 limbs had disappeared in postoperative,with no complications,followed up 2 to 12 months,there was no ulcer and superficial varicose recurrence.Conclusion SEPS played an important part in treating venous ulceration of lower extremities,it was safe,with effective,less injury and less complications,this approach may effectively reduce ulcer recurrence and improve the nutrition of skin disorders.

关 键 词：下肢静脉性溃疡 交通静脉 腔镜 

分 类 号：R654.34[医药卫生—外科学]