微创刨吸、电凝及股静脉瓣环缩术治疗下肢浅静脉曲张

目的:评价微创刨吸、电凝及股静脉瓣环缩术治疗下肢浅静脉曲张的疗效.方法:对2003年1月～2005年6月收治的106例(156条下肢)静脉曲张行静脉造影后,采用TriVex微创刨吸治疗22例(29条下肢),电凝治疗84例(127条下肢),同期行股静脉环缩术38例(47条下肢).结果:电凝者5例出现皮肤灼伤,4例术后出现皮下硬结;刨吸者3例出现皮下血肿;股静脉瓣环缩术者下肢肿胀均好转,无深静脉血栓发生;静脉曲张均消失.结论:微创治疗是治疗下肢静脉曲张的确切手段,结合股静脉瓣环缩术可用于股静脉瓣功能严重不全的病例.

Mini-phlebctomy and electrocoagulation combined with encircling constriction for treating varicose veins of the lower extremity

Objective:To evaluate TriVex phlebctomy and electrocoagulation combined with encircling constriction of superficial femoral vein for treatment of varicose veins of the lower extremities.Methods:The clinical data of 106 cases(156 lower extremities) undergoing deep venography from January 2003 to June 2005 were analyzed retrospectively.22 cases(29 lower extremities) were treated with TriVex phlebctomy,84 cases(127 lower extremities) with electrocogulation,and 38 cases(47 lower extremities) received constriction of superficial vein at the same term.Results:Five cases treated with electrocoagulation presented burned skin,four cases developed subcutaneous indurations and three cases developed hematoma after TriVex phlebctomy;the leg swelling improved and no deep vein thrombus occurred;All the varicose veins are well controlled.Conclusions:Minimal invasive operations are eutherapeutic for varicose veins of the lower extremity and can be used for treatment of cases of severe femoral venous valve dysfunction when combined with encircling constriction of superficial femoral vein.