小切口瓣膜修复联合血管内电凝治疗原发性下肢深静脉瓣膜功能不全

目的:探讨股部小切口修复深静脉瓣膜联合血管内电凝曲张的大隐静脉和浅静脉，治疗原发性下肢深静脉瓣膜功能不全的临床应用价值。方法:67例原发性下肢深静脉瓣膜功能不全的患者，在硬膜外麻醉下取股部小切口，行第一对股浅静脉瓣膜外修复；同时选用40W输出功率的电刀，对迂曲扩张的大隐静脉或浅静脉进行血管内电凝。结果:患者于手术5～10h后下床活动，7d天拆线，股部小切口愈合良好，无淋巴瘘等并发症发生。随访1～5年，超声检查电凝后的大隐静脉和曲张浅静脉均已闭合，无曲张静脉复发。2年内临床治愈率为100%；3年后2例股静脉瓣膜修复处轻度反流，临床治愈率96.36%。结论:股部小切口修复瓣膜功能联合血管内电凝曲张静脉，是一种较好的治疗下肢深静脉瓣膜功能不全的手术方法，操作简便、创伤小、恢复快，适合基层医院推广应用。

Combination of minitrauma venous valve reparation and intravascular electric coagulation to treat primary deep venous valve dysfunction of lower limb

Abstract:Objective:To summarize the clinical experience of combination of minitramatic valve reparation with small femoral incision and intravascutlar electric coagulation of the varicose veins to treat primary deep venous valve dysfunction of lower limbs.Methods :The clinical data of 67 patients with primary deep venous valve dysfunction who received operation of superficial femoral vein valve reparation and intravascular electric coagulation in the varicose vein was retrospectively analyzed.Results:All patients could ambulate 5-10 hour′s after operation, stitches were taken out on 7th postoperation day and there were no complications. During 1 to 5 years follow-up by ultrasound, the clinical cure rate was 100% and 96.36% in 2 years and 3years respectively.Conclusions:The combination of ineravascular electric coagulation and valve repair operations with small incision is a good, convenient, minitraumatic, aesthetic and rapid recuperative method for treatment of patients with primary deep venous valve dysfunction, and it is suitable for widespread use in base-level hospitals.