| 腘静脉肌袢代瓣术治疗重度原发性下肢深静脉瓣膜功能不全的疗效分析 |
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| 引用本文： | 符洋|郭学利|王子凡|宋燕|张勇敢|苗超峰|白华龙. 腘静脉肌袢代瓣术治疗重度原发性下肢深静脉瓣膜功能不全的疗效分析[J]. 中国普通外科杂志, 2011, 20(6): 585-588 |
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| 作者姓名： | 符洋|郭学利|王子凡|宋燕|张勇敢|苗超峰|白华龙 |
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| 作者单位： | 郑州大学第一附属医院血管外科; |
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| 摘 要： | 目的研究腘静脉肌袢代瓣术进行深静脉瓣膜重建对重度原发性下肢深静脉瓣膜功能不全(PDVI)的疗效。方法选取106例CEAP分级4级以上患者,随机分为肌袢代瓣联合浅静脉手术组和单纯浅静脉手术组,对比两组术前、术后14 d及术后2年的静脉疾病临床严重度评分(VCSS)。结果两组术后14 d VCSS总分及疼痛、静脉曲张、炎症及溃疡评分均较术前明显下降(P<0.05),但组间比较差异无统计学意义(P>0.05)。术后2年VCSS总分[(3.5±1.8)vs.(4.7±3.1),P=0.039]、静脉曲张(P=0.026)与水肿(P=0.021)评分肌袢组较单纯浅静脉组显著下降。结论对CEAP分级4级以上,且合并严重静脉水肿的PDVI患者,肌袢代瓣术联合浅静脉剥脱术远期疗效优于单纯浅静脉手术。
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| 关 键 词： | 静脉功能不全/外科学 瓣膜功能不全 深静脉 腘静脉肌袢代瓣术 |
| 收稿时间： | 2011-03-07 |
| 修稿时间： | 2011-05-28 |
Analysis of substitue valve in popliteal vein for |treatment of primary deep venous insufficiency of lower extremity |
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| FU Yang,GUO Xueli,WANG Zifan,SONG Yan,ZHANG Yonggan,MIAO Chaofeng,BAI Hual. Analysis of substitue valve in popliteal vein for |treatment of primary deep venous insufficiency of lower extremity[J]. Chinese Journal of General Surgery, 2011, 20(6): 585-588 |
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| Authors: | FU Yang GUO Xueli WANG Zifan SONG Yan ZHANG Yonggan MIAO Chaofeng BAI Hual |
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| Affiliation: | FU Yang,GUO Xueli,WANG Zifan,SONG Yan,ZHANG Yonggan,MIAO Chaofeng,BAI Hualong(Department of Vascular Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052,China) |
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| Abstract: | Objective To investigate the therapeutic effect of deep venous valve reconstruction using substitute valve in popliteal vein of patients with severe primary deep venous insufficiency(PDVI).Methods One hundred and six PDVI patients with CEAP classification of 4 to 6 class were included and randomly assigned as observation group and control group.Patients in the observation group underwent the combined treatment of substitute valve operation and superficial vein phlebectomy,and patients in the control group u... |
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| Keywords: | Venous Insufficiency/surg Valve Insufficiency Deep Venous Substitute Valve of Popliteal Vein |
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