下肢静脉曲张术后复发的原因和处理

目的:探讨下肢静脉曲张术后复发的原因及防治。方法:回顾性分析本院2004年5月～2009年6月诊治的32例(38条患肢)下肢静脉曲张术后复发患者的病例资料。全部行深静脉顺行造影和彩色多普勒超声检查,了解患肢股浅、股深和交通支静脉功能,根据复发原因确定治疗方式。结果:复发的原因有大隐静脉主干和部分属支残留(15条患肢),同时4条合并交通支静脉瓣膜功能不全。交通支静脉瓣膜功能不全(13条患肢)。原发性深静脉瓣膜功能不全(7条患肢),1条深静脉血栓后遗症和1条同侧Cocket综合征,以上病例经有效治疗均治愈或症状缓解。结论:下肢静脉曲张术后复发主要是手术方式不当、手术技术失误和术后处置不足,仔细术前检查、强调诊断准确、合理选择术式、优化技术方案、严谨手术操作、注意术后处置,可以减少复发。

Causes and treatment of recurrent varicose veins after varicotomy in lower extremities

Objective:To investigate the causes of recurrent varicose veins in lower extremities after varicotomy and the prevention and management of relapse.Methods: Retrospectively analyzed were in 32 patients(38 lower extremities) with the recurrent varicose veins after varicotomy,between May,2004 and Jun.2009.All patients underwent color Doppler ultrasonography and ascending venography of deep vein in lower extremities for the function estimation of superficial and deep femoral veins as well as perforating veins.T...