股浅静脉瓣膜环包术治疗下肢原发性静脉返流性疾病146例

目的：探讨下肢原发性静脉返流性疾病的外科治疗。方法：对146例下肢原发性静脉返流性疾病的患者168条肢体进行外科手术治疗。所有肢体均行浅静脉手术加股静脉瓣膜外修复成形术。结果：90．4％（152／168）的患肢静脉性跛行、酸胀、疼痛等症状消失；9．6%（16／168）的患肢症状明显改善。所有肢体静脉曲张消失。经彩超复查92％（155／168）的肢体深静脉瓣膜功能恢复正常。结论：对重度下肢原发性静脉返流性疾病的患者采用瓣膜外修复成形术治疗，可大大提高临床疗效。

External valvuloplasty lffemoral vein treatment primary venous reflux disease of lower extremity

Objective:To evaluate the effect of the comprehensive surgical management of primary venous reflux disease in lower extremity. Methods: Comprehensive surgical management was performed on 146 patients(168limbs)with primary venous reflux disease between February,1996 and sepy,2004. All limbs were performed with superficial venous operation and external valvuloplasty of femoral vein valve.Rusults: Venous claudication,swelling,and aching disappeared in 90.4% of limbs(152/168)and apparent improvement in 9.6% of limbs(16/168).All varicose veins were gone. Deep venous valve sufficiency was demonstrated in 92%(155/168) of the limbs by color duplex. Conclusion: In the patients with severe primary venous reflux disease,Surgical management with external valvuloplasty might greatly improve the clinical effect.