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下肢浅静脉手术后深静脉瓣膜功能变化的中期结果报道(PDF)

《中国普外基础与临床杂志》[ISSN:1007-9424/CN:51-1505/R]

期数:
2010年07期
页码:
649-652
栏目:
专题
出版日期:
2010-07-22

文章信息/Info

Title:
 Intermediate Stage Report about Change of Deep Venous Valve Function after Superficial Vein Surgery of Lower Extremity
稿件编号:
201007003
作者:
戈小虎; 任昊; 李雪松; 赛力木
 新疆维吾尔自治区人民医院血管外科 (乌鲁木齐 830001)
Author(s):
GE Xiao-hu;  REN Hao;  LI Xue-song;  SAI Li-mu
 Department of Vascular Surgery, People’s Hospital of Xinjiang Urgur Autonomous Region, Urumchi 830001, China
关键词:
 ; 下肢深静脉瓣膜功能;  浅静脉曲张;  手术;  中期随访结果;  大隐静脉激光闭合术
Keywords:
 ; Deep venous valve function of lower extremity;  Varicose veins;  Operation;  Intermediate stage result;  Endovenous laser treatment of the great saphenous vein
分类号:
R654.4
DOI:
-
文献标识码:
A
摘要:
目的  观察下肢浅静脉手术改善深静脉瓣膜功能的中期随访结果。
方法 收集2006年3～10月期间在我院行手术治疗的下肢静脉曲张患者43例(55条肢体)，全部患者曾在术后半年进行随访并比较了手术前、后深静脉瓣膜功能改善情况，术后4年再次以同样方法评价其深静脉瓣膜功能改善情况。
结果 39例患者深静脉瓣膜功能保持良好，与术后半年随访时无明显差异。4例当时未行高位结扎的患者，再次出现浅静脉曲张，且深静脉存在返流。
 结论 伴有深静脉瓣膜功能不全的下肢浅静脉曲张，单纯行浅静脉激光闭合术或剥脱术均可有效改善深静脉瓣膜功能，且效果保持良好; 高位结扎大隐静脉是保证改善深静脉瓣膜功能的关键。
Abstract:
Objective    To evaluate improved effect for deep venous valve function after superficial vein surgery of lower extremity in the intermediate stage.
Methods    Totally 43 patients (55 limbs) with varicose veins of lower extremity were enrolled to accept surgical management of vein systems in our department from March 2006 to October 2006. All patients were respectively followed up after 6 months and 4 years about the changes of deep venous valve function with color Doppler ultrasonography.
Results      Thirty-nine patients’ deep venous valve function kept well up to now, and there was no significant difference between the two results. Four patients without proximal saphenous vein ligation recurred, and there was reflux in deep venous.
Conclusion    Endovenous laser treatment and ablation of varicose veins of lower extremity with deep venous insufficiency could improve deep venous valve function effectively. Proximal great saphenous vein ligation is important for successful operation.

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备注/Memo

备注/Memo:
 【通讯作者】戈小虎，E-mail: gexiaohuxj@sohu.com
【作者简介】戈小虎(1962年-)，男，河北省武清县人，本科，主任医师，教授，硕士生导师，主要从事血管外科疾病临床治疗与基础研究。
更新日期/Last Update: 2010-07-23