内镜下交通支结扎治疗下肢复发性静脉性溃疡

摘要：目的: 探讨内镜深筋膜下结扎交通支治疗下肢复发性静脉性溃疡的疗效。方法:手术治疗50例(56条)下肢复发性静脉性溃疡患者，行内镜下交通支静脉离断术，对术后溃疡愈合情况进行1~3年随访。 结果:55条下肢溃疡在10~49d内愈合，1条90d未愈，行小隐静脉高位结扎术后溃疡愈合。随访1~3年，6个月后复发1例，抗炎换药后愈合。18个月后2条复发，再行小隐静脉高位结扎术后溃疡愈合。 结论:腔镜深筋膜下交通支静脉结扎术安全有效，损伤小，并发症少，是治疗下肢复发性静脉性溃疡较为有效的方法。

Subfascial endoscopic perforator surgery for the treatment of recurrent venous ulcer

Abstract:Objective:To evaluate the effect of subfascial endoscopic perforator surgery (SEPS) for the treatment of recurrent venous ulcer. Methods:SEPS Was preformed on 56 limbs with recurrent venous ulcer, and ulcer healing was assessed at follow up. Results:Fifty-five limb ulcers healed in 10～49 days,one limb ulcer was not healed after 90 days, but healed after ligation of lesser saphenous vein. The patients were followed up for 1 to 3 years, 1 case recurred after 6 months and it healed with antibiotic treatment; 2 cases recurred after 18 months, and both healed after high ligation of lesser saphenous vein. Conclusions:SEPS is effective and safe in the treatment of recurrent venous ulcer. SEPS is minitraumatic with few complications.