腔镜深筋膜下交通支静脉结扎治疗慢性下肢静脉溃疡

目的:探讨腔镜深筋膜下交通支静脉结扎治疗慢性下肢静脉性溃疡的疗效.方法:手术治疗26例下肢静脉曲张病人,该26例均同时存在浅静脉倒流、交通支静脉功能不全、深静脉功能不全和静脉性溃疡.手术方式为腔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的浅静脉经皮连续环形缝扎术,26例同时行股浅静脉瓣膜外包窄术.结果:术后肢体症状和浅静脉曲张消失,10例静脉性溃疡短期内愈合,16例明显缩小.结论:腔镜深筋膜下交通支静脉结扎术安全有效,损伤小,并发症小,是治疗下肢静脉功能不全性溃疡的有效方法和重要组成部分.

Subfascial endoscopic perforators vein surgery in treatment of chronic venous ulceration in the lower limb

Objective To explore the effect of subfascial endoscopic perforator vein surgery(SEPS)in treatment of patients with venous ulceration of the leg.Methods 26 patients with varicose and venous ulcer in the lower extremities,who had been identified to have reflux in superficial and deep vein as well as incompetent perforating vein,underwent venous surgery.Several surgical procedures were performed simultaneously,including,saphenofemoral,limited stripping of the long saphenous and percutaneous contiuous venule circumsuture.26 cases underwent external suture valve repair.Results The surgery obviously improved venous function,varicose vein disappeared;ulcers healed shortly in 10 cases and ulcer reduced in size markedly in another 16 cases.Conclusion SEPS is a safe and effective procedure.It plays an important role in the treatment of varicose and venous ulceration in leg.