【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5 0例(5 6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5 5条下肢溃疡在1 0~4 9 d内愈合,1条9 0 d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。1 8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。更多还原

【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).更多还原