血管镜下股浅静脉瓣膜修复成形术12例分析  

Angioscopic externally valve suture repair in the treatment of femoral superficial vein insufficiency

作　　者：林少芒[1] 林细吟[2] 姚燕丹[1] 胡以则[1] 

机构地区：[1]广州医学院第二附属医院血管外科,广州510260 [2]中山大学护理学院

出　　处：《中华普通外科杂志》2003年第4期204-205,共2页Chinese Journal of General Surgery

基　　金：广东省卫生厅科学基金资助项目 (A19992 40 )

摘　　要：目的探讨血管镜直视下股浅静脉壁外瓣膜修复术治疗深静脉瓣膜功能不全的可行性和效果。方法通过血管镜从大隐静脉断端导入至股浅静脉第 1对瓣膜近侧 ,同时阻断股总、股深、股浅静脉 ,应用含肝素的冲洗液建立清晰水柱 ,直接观察瓣膜的形态、缺损和变形的程度 ,对 12例原发性深静脉瓣膜功能不全患者实施直视下壁外静脉瓣膜成形术。结果 12例术后行静脉顺行造影证实 9例患肢股浅静脉第 1对瓣膜返流基本消失 ,3例静脉瓣膜返流明显改善 ,无静脉血栓和其他并发症。结论血管镜直视下行股浅静脉瓣膜壁外修复术准确有效、微创和安全。ObjectiveTo evaluate the feasibility of angioscopically external valve suture repair. MethodAngioscope was introduced through the terminal great sapherous to the first venous valve of superficial femoral vein. With general femoral vein, deep femoral vein, superficial femoral vein blocked, heparin-contained NS was used to establish water column, and video-guided angioscopy demonstrates the valve′s shape and its degree of defect and deformation. Twelve patients with primary deep venous insufficiency underwent video-valvuloplasty.ResultsPostoperative phlebography showed disappearance of reflux in 9 cases, and significantly reduced reflux in 3 cases. There was no morbidity postoperatively. Conclusion Angioscopic external suture valve repair is safe and effective in the treatment of femoral superficial venous insufficiency.

关 键 词：血管镜 股浅静脉瓣膜修复成形术 深静脉瓣膜功能不全 手术方法 微创外科 

分 类 号：R654.4[医药卫生—外科学]