【摘要】 目的总结剥脱联合透光旋切术治疗下肢静脉曲张的手术要点、中远期效果。方法回顾性分析2005-02-01至2013-07-31卫生部中日友好医院收治的3170例下肢静脉曲张(4675条患肢)病人临床资料,均采用大隐静脉剥脱联合透光旋切术治疗,术后对病人进行随访,观察术后恢复情况、并发症发生率及复发率。结果平均手术时间:单侧患肢(62.0±14.0)min,双侧(97.0±22.0)min。平均住院时间(5.1±1.6)d。围术期死亡2例,围手术期病死率0.06%。术后2747例(3890条患肢)病人获得随访,随访率86.7%。随访6~98个月,中位随访时间47.5个月。术后1年以上病人2697例(3548条患肢),2265例(2877条患肢)获得随访。复发133例,复发率为4.9%。结论大隐静脉剥脱联合透光旋切治疗下肢静脉曲张创伤小、操作简便、效果确切、并发症少、术后恢复快、复发率低。更多还原

【Abstract】 ObjectiveTo summarize operation key points and medium and long-term follow-up results ofconventional stripping combined with transilluminated powered phlebectomy for lower extremity varicose vein.Methods The clinical data of 3170 cases(4675 limbs) treated by conventional stripping with transilluminated powered phlebectomy(TIPP)from February 1, 2005 to July 31, 2013 were analyzed retrospectively.The patients were followed up to observepostoperative recovery condition,postoperative complications and postoperative recurrence rate.ResultsGreatsaphenous vein trunks was stripped away by conventional stripping technique in all patients and all superficial varicosevein labeled before operation were resected with TIPP. Perforating veins and varicose veins mass in the calf and thighwere divided and ligated respectively according to the labels marked before operation. Surgical time was(62±14)min inunilateral lower extremity and(97±22)min in bilateral lower extremities. The average hospitalization days was(5.1±1.6)d. Two patients died in perioperative period and perioperative mortality was 0.06%. Total 2747 patients(3890 lowerextremities)were followed up in 6 to 98 months,and the median follow up time was 47.5 months. The follow-up rate was86.7% in all patients. Total 2697 patients(3548 lower extremities) had accepted the operation more than 1 year,2265patients(2877 lower extremities) in which were followed up. There were 133 patients(4.9%)recurred(above C2).ConclusionConventional stripping with transilluminated powered phlebectomy for varicose vein of lower limb has theadvantages of little trauma,easily operating,definite effect,less complication. The follow-up results suggest that theoperation is a surgical procedure with rapid recovery and low recurrence rate.更多还原