以TriVex旋切术为中心的三阶段疗法治疗下肢静脉性溃疡的临床疗效观察  

TriVex based transilluminated powered phlebectomy staged management for lower limb vein ulcers

作　　者：王忠福[1] 赵渝[1] 王学虎[1] 张矛[1] 李凤贺[1] 

机构地区：[1]重庆医科大学附属第一医院普外科国家临床重点专科重庆市普外科学重点实验室,400016

出　　处：《中华普通外科杂志》2014年第4期257-260,共4页Chinese Journal of General Surgery

摘　　要：目的总结以TriVex旋切术为中心、配以抗炎对症三阶段疗法治疗下肢静脉性溃疡的临床疗效以及其优势性分析。方法回顾性分析2005年10月至2013年7月重庆医科大学附属第一医院收治的86例（102条患肢）静脉性溃疡患者，以及经三阶段疗法治疗的相关临床资料。结果86例患者术后均未出现急性蜂窝织炎、皮肤溃烂坏死及下肢深静脉血栓并发症，出现皮下淤血2例、皮下血肿1例、皮肤感觉异常1例、皮下硬结1例；86例患者均获得随访，随访时间4—48个月，平均随访（15±12）个月。溃疡均在术后1个月内结痂愈合，同时皮肤病变也在随访时发现明显好转，随访期间未出现溃疡复发。结论以TriVex旋切术为中心，配以抗炎对症三阶段疗法的综合治疗方案对下肢静脉性溃疡有较好的疗效，可降低术后出现急性蜂窝织炎、皮肤溃烂坏死的并发症，缩短溃疡愈合时间，减少复发。Objective To evaluate TriVex based transilluminated powered phlebectomy （TIPP） three-stage management for lower limb venous ulcers. Methods This retrospective study included 86 patients with 103 diseased limbs treated in our hospital from October 2005 to July 2013. All received TriVex TIPP three-stage management. Results After therapy there was no acute cellulitis, skin necrosis nor lower limb deep venous thrombosis. There were 2 cases of subcutaneous ecchymosis, 1 case of subcutaneous hematoma, 1 case of skin abnormal sensation and 1 case of subcutaneous induration. Ulcers healed within one month postoperation in all cases, while skin abnomalities were alleviated with no ulcer recurrence during the follow-up ranging from 4 to 48 months. Conclusions TriVex TIPP centered three-stage management is a good option for lower limb venous ulcer, with shortened healing time, low recurrence rate.

关 键 词：静脉曲张溃疡 血管外科手术 TriVex系统 旋切术 

分 类 号：R654.4[医药卫生—外科学]