筋膜下内镜交通支离断术治疗下肢静脉性溃疡的体会  

Subfascial endoscopic perforator surgery in treatment of chronic venous ulceration in the lower extremity

作　　者：曹厚军[1] 魏学明[1] 王石林[1] 黄蓉蓉[1] 周晓武[1] 冯国勋[1] 张海宏[1] 

机构地区：[1]空军总医院,北京100142

出　　处：《腹腔镜外科杂志》2012年第4期311-312,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨深筋膜下内镜交通支静脉离断术(subfascial endoscopic perforator surgery,SEPS)治疗下肢静脉性溃疡的可行性及应用价值。方法:回顾分析2008年12月至2011年4月为7例(8条肢体)下肢静脉性溃疡伴下肢静脉交通支瓣膜功能不全患者行大隐静脉剥脱术及SEPS的临床资料。结果:7例(8条肢体)手术均获成功,曲张静脉团块消失,下肢静脉血淤滞得到解决,色素沉着减轻,溃疡愈合。术后随访1～3年,无一例复发。结论:SEPS适于治疗下肢静脉交通支瓣膜功能不全的下肢静脉性溃疡患者,手术创伤小、安全、简单、易行,疗效确切,应用价值较高。Objective：To evaluate the feasibility and the value of subfascial endoscopic perforator surgery（SEPS） in treatment of venous ulceration of the lower limb. Methods ： The clinical data of 7 patients （ 8 limbs） with lower extremity chronic venous ulceration who underwent the great saphenous vein stripping surgery and the SEPS from Dec. 2008 to Apr. 2011 was retrospectively analyzed. Re- suits：Seven（8 limbs） cases of SEPS were successfully performed, the varicose vein clumps disappeared,lower extremity venous stasis were resolved,the pigmentation reduced, no recurrence occurred in the following-up of 1-3 years. Conclusions： SEPS .is suitable for treatment of lower extremity chronic venous ulceration with valve insufficiency in perforating vein. It is safe, simple, effective, mini-inva- sive and of high clinical application value.

关 键 词：静脉曲张溃疡 下肢 内窥镜检查 病例报告 

分 类 号：R654.4[医药卫生—外科学]