目的探討小腿深筋膜下靜脈交通支腔鏡下離斷術的治療效果。 方法回顧性分析57例經靜脈造影或彩色多普勒檢查確診為原發性下肢靜脈瓣膜功能不全合并靜脈交通支功能不全患者,在腔鏡下行下肢深、淺靜脈交通支結扎術的治療情況。結果術后小腿內側中下段局部腫脹7例,多在一周內自行消失,切口感染及皮膚灼傷各2例,經治療后治愈。所有病例淺靜脈曲張消失,皮膚色素沉著顯著減退,潰瘍2~3周愈合。結論腔鏡下行靜脈交通支結扎為徹底治療靜脈交通支功能不全提供了一個良好的治療手段。
                                 
                               
                                     
                                  
                       
                           引用本文:
                           尹樂平,馮超,顧毅,劉彤. 下肢靜脈交通支腔鏡下離斷術(附57例報告). 中國普外基礎與臨床雜志, 2003, 10(5): 485-486. doi: 
                           復制
                       
                       
	                       
	                           版權信息:
	                           ?四川大學華西醫院華西期刊社《中國普外基礎與臨床雜志》版權所有,未經授權不得轉載、改編
	                       
                       
                             
                            
                                
                            
                                 
                                 
                                 
                                                    			
				                                            
				                                                
				                                                    
				                                                        
				                                                            
				                                                                | 1. | Barwell J, Poskitt K, Whyman M. Role of superficial venous surgery in the treatment of venous ulceration [J]. Br J Surg,1999; 86(11)∶1475. | 
				                                                        
				                                                            
				                                                                | 2. | Padberg FT Jr. Endoscopic subfascial perforating vein ligation: its complementary role in the surgical management of chronic venous insufficiency [J]. Ann Vasc Surg, 1999; 13(3)∶343. | 
				                                                        
				                                                    
				                                                 
				                                             
				                                            
                             
                            
                                
                               		 
		                                
		                                    - 1.  Barwell J, Poskitt K, Whyman M. Role of superficial venous surgery in the treatment of venous ulceration [J]. Br J Surg,1999; 86(11)∶1475.		                                    
		                                    
- 2.  Padberg FT Jr. Endoscopic subfascial perforating vein ligation: its complementary role in the surgical management of chronic venous insufficiency [J]. Ann Vasc Surg, 1999; 13(3)∶343.