自体静脉片瓣膜包窄治疗下肢深静脉倒流性病变

目的 评价自体大隐静脉片作为包窄材料行下肢深静脉瓣膜包窄术的临床应用价值。方法 选择通过静脉造影等特殊检查,确诊为原发性深静脉瓣膜功能不全,倒流3～4级,其倒流程度轻度和中度的67例(69条肢体),作股浅静脉瓣膜包窄术。结果 49条肢体随访3～18个月,效果良好的(41/49)占83.67％;病情好转的(6/49)占12.24％;无效者(1/49)占2.04％;血栓形成(1/49)占 2.04％。结论 本手术操作简便、安全、有效,经本院改进的手术方法,合理选择手术适应证,是取得理想效果的关键,但大隐静脉片作为包窄材料具有一定的局限性。

External constriction valvuloplasty with autogenons veinons piece of great saphenous vein in treatment of deep veinous reflux disease of lower limbs

Objective To evaluate the effectiveness of extemal banding valvuloplasty with autogenous veinous piece of great saphenous vein in the treatment of deep vein reflux disease of lower limbs. Methods From July 1998 to September 2001, 67 patients with a total of 69 limbs have been operated on. Through diagnosed exam-inations mainly consisting of venography, all the limbs were diagnosed as primary deep venous incompetence of the lower limbs with mild to moderate reflux. Results Forty-nine limbs have been followed up from 3 to 18 months. The post-operative results are satisfactory in 41 limbs (83. 67% ), good in 6 limbs (12. 24% ), no improvement in one limb (2. 04% ) and ihrombosis was found in one limb (2. 04% ) . Conclusion This operation is proved to be easy-performing, safe and effective. Good results may be gained if the patients are reasonably chosen and the authors' surgical method is used. However the autogenous piece as a banding meterial has its shortcomings.