下肢深静脉血栓形成后遗症的外科手术治疗  

Surgical treatment of the sequela of deep vein thrombosis of lower extremity

作　　者：张毅[1] 孙国华[1] 王胜甲 薛晨星 田明夏[1] 周伟东[1] 

机构地区：[1]山东省青岛市市南区人民医院血管外科,山东青岛266002

出　　处：《中国普通外科杂志》2002年第7期402-404,共3页China Journal of General Surgery

摘　　要：目的　探讨下肢深静脉血栓形成后遗症外科手术治疗的有效方法。方法　回顾分析1992年以来手术治疗下肢深静脉血栓形成后遗症 3 2例 3 6条下肢的临床资料。结果　血管造影诊断下肢深静脉血栓形成后遗症准确率为 10 0 %。本组I型 5条 ,IIA型 4条 ,IIB型 12条 ,III型 15条。行人造血管股浅静脉环缩术 16条 ;股浅静脉瓣修复术 3条 ;大隐静脉 -静脉原位转流术 6条 ;静脉外肌袢成形术 4条 ;髂总静脉 -股浅静脉人造血管移植转流术 3条 ;大隐静脉 -股浅静脉交叉转流术 4条。治疗后症状完全消失 2 8条 (77.8% ) ,部分消失或改善 8条 (2 2 .2 % )。结论　血管造影是诊断下肢深静脉血栓形成后遗症的金指标 。Objective To study the effective surgical methods for the sequela of deep vein thrombosis(DVT) of lower extremity . Methods The clinical data of 32 patients with the sequela of DVT of lower extremity in 36 limbs treated by surgery since 1992 were analysed retrospectively. Results Diagnosis accuracy rate of angiography in sequela of DVT was 100%. There were type I in 5 limbs, type IIA in 4, type IIB in 12,and type III in 15. External constriction valvuloplasty of superficial fomoral vein(SFV) was performed on 16 limbs,valvuloplaasly of SFV on 3 limbs,great saphenous vein popliteal vein anastomosis in situ in 6 limbs,muscular loop plasty on popliteal vein in 4 limbs,common iliac vein SFV anastomosis with artificial vessel interposition in 3 limbs,great saphenoas vien ansatomosed to opposite SFV in 4 limbs. After treatment,symptoms totally disappeared in 28 limbs ( 77.8% ), and improved in 8 limbs. Conclusions The vasography is diagnostic chrysindicatrix of the DVT sequela. Different operations based on the damage of valves should be chosen.

关 键 词：后遗症 外科手术 治疗 深静脉血栓形成 外科学 下肢静脉 

分 类 号：R543.605[医药卫生—心血管疾病]