内镜深筋膜下交通支静脉结扎治疗下肢慢性溃疡

目的 :探讨内镜深筋膜下结扎交通支静脉治疗下肢慢性溃疡的效果。方法 :手术治疗 14例下肢慢性静脉性溃疡 ,同时存在不同程度浅静脉倒流、交通支静脉功能不全、深静脉瓣膜功能不全。手术方式为内镜深筋膜下交通支静脉结扎、大隐静脉高位结扎并抽剥和小腿曲张浅静脉经皮连续环形缝扎术 ,其中 10例同时行血管镜下股浅静脉壁外瓣膜修复成形术。结果 :术后患肢症状和浅静脉曲张消失 ,14例静脉性溃疡短期内愈合。结论 :内镜深筋膜下交通支静脉结扎术安全有效 ,结扎完全、确切 ,较高位损伤小 ,并发症少 ,是治疗下肢静脉功能不全性溃疡的有效方法和主要组成部分

The Treatment to Chronic Ulcer in Lower Limbs by Ligating Rami Communicantes Vein under Deep Fascia with Endoscope

Objective:To evaluate the role of subfascial endoscopic perforator surgery in treatment of patients with venous ulceration of the leg. Methods:14 varicose patients with venous ulcer in the lower extremities, who had been identified with reflux in superficial and deep vein as well as with incompetent perforating vein, underwent venous surgery.Several surgical procedures were performed ligation simultaneously,limited stripping of the long saphenous,percutaneous and continuous venule circumsuture.10 of them underwent external suture valve repair.Results: The surgery resulted obviously in improved venous efficiency, varicose vein disappeared; ulcer healed shortly in 14 cases.Conclusion: Subfascial endoscopic perforator ligation is a safe, complete and effective technique.It plays an important role in the treatment of varicose and venous ulceration in leg.