下肢淺靜脈手術后深靜脈瓣膜功能變化的中期結果報道_《中國普外基礎與臨床雜志》

作者：

戈小虎 , 任昊 , 李雪松 , 賽力木

新疆維吾爾自治區人民醫院血管外科 (烏魯木齊 830001);

關鍵詞：

下肢深靜脈瓣膜功能淺靜脈曲張手術中期隨訪結果大隱靜脈激光閉合術

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目的觀察下肢淺靜脈手術改善深靜脈瓣膜功能的中期隨訪結果。
方法收集2006年3～10月期間在我院行手術治療的下肢靜脈曲張患者43例(55條肢體)，全部患者曾在術后半年進行隨訪并比較了手術前、后深靜脈瓣膜功能改善情況，術后4年再次以同樣方法評價其深靜脈瓣膜功能改善情況。
結果 39例患者深靜脈瓣膜功能保持良好，與術后半年隨訪時無明顯差異。4例當時未行高位結扎的患者，再次出現淺靜脈曲張，且深靜脈存在返流。
結論伴有深靜脈瓣膜功能不全的下肢淺靜脈曲張，單純行淺靜脈激光閉合術或剝脫術均可有效改善深靜脈瓣膜功能，且效果保持良好; 高位結扎大隱靜脈是保證改善深靜脈瓣膜功能的關鍵。

引用本文： 戈小虎,任昊,李雪松,賽力木. 下肢淺靜脈手術后深靜脈瓣膜功能變化的中期結果報道. 中國普外基礎與臨床雜志, 2010, 17(7): 649-652. doi: 復制

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2.	Wang SM, Hu ZJ, Li SQ, et al. Effect of external valvuloplasty of the deep vein in the treatment of chronic venous insufficiency of the lower extremity [J]. J Vasc Surg, 2006; 44(6): 12961300.
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13.	Dunn RM, Fudem GM, Walton RL, et al. Free flap valvular transplantation for refractory venous ulceration [J]. J Vasc Surg, 1994; 19(3): 525531.
14.	Cheatle TR, Perrin M. Venous valve repair: early results in fiftytwo cases [J]. J Vasc Surg, 1994; 19(3): 404413.
15.	王志剛, 雷澤華, 余慎林. 靜脈腔內激光和傳統手術治療下肢靜脈曲張的近期療效比較 [J]. 中國普外基礎與臨床雜志, 2010; 17(4): 372375.
16.	楊國凱, 楊鏞, 何曉明, 等. 射頻閉合聯合動力旋切治療下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2009; 16(1): 6063.
17.	陳開, 劉崇清, 戴毅, 等. 應用微創刨吸術治療下肢靜脈曲張52例報告 [J]. 中國普外基礎與臨床雜志, 2005; 12(5): 515516.
18.	Bergan JJ. Venous insufficiency and perforating veins [J]. Br J Surg, 1998; 85(6): 721722.
19.	Zamboni P, Cisno C, Marchetti F, et al. Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for venous surgery [J]. Eur J Vasc Endovasc Surg, 2001; 21(4): 361369.
20.	Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
21.	Puggioni A, Lurie F, Kistner RL, et al. How often is deep venous reflux eliminated after saphenous vein ablation? [J]. J Vasc Surg, 2003; 38(3): 517521.
22.	Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
23.	Sales CM, Bilof ML, Petrillo KA, et al. Correction of lower extremity venous incompetence by ablation of superficial venous reflux [J]. Ann Vasc Surg, 1996; 10(2): 186189.
24.	Ting AC, Cheng SW, Wu LL, et al. Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency [J]. World J Surg, 2001; 25(2): 122125.
25.	任昊, 戈小虎, 劉杰, 等. 下肢靜脈曲張行淺靜脈手術對深靜脈瓣膜功能影響的研究 [J]. 中國普通外科雜志, 2008; 17(12): 12111216.
26.	王磊, 侯寶忠, 于威, 等. 外科治療原發性下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2007; 14(5): 605607.
27.	祿韶英, 祁光裕, 孫學軍, 等. 血管腔內激光治療下肢淺靜脈曲張的初步觀察 [J]. 中國普外基礎與臨床雜志, 2004; 11(5): 1.

1. ColeridgeSmith PD. Leg ulcer treatment [J]. J Vasc Surg, 2009; 49(3): 804808.
2. Wang SM, Hu ZJ, Li SQ, et al. Effect of external valvuloplasty of the deep vein in the treatment of chronic venous insufficiency of the lower extremity [J]. J Vasc Surg, 2006; 44(6): 12961300.
3. Dunn CW, Kabnick LS, Merchant RF, et al. Endovascular radiofrequency obliteration using 90 degrees C for treatment of great saphenous vein [J]. Ann Vasc Surg, 2006; 20(5): 625629.
4. Mizaushev BA, Kosenkov AN, Aslanov AD, et al. Surgical treatment of patients with chronic lower limb venous insufficiency and trophic disorders [J]. Khirurgiia (Mosk), 2005; (10): 2427.
5. Qiao T, Liu C, Ran F. The impact of gastrocnemius muscle cell changes in chronic venous insufficiency [J]. Eur J Vasc Endovasc Surg, 2005; 30(4): 430436.
6. Tawes RL, Barron ML, Coello AA, et al. Optimal therapy for advanced chronic venous insufficiency [J]. J Vasc Surg, 2003; 37(3): 545551.
7. Lfgren KA. Surgical management of chronic venous insufficiency [J]. Acta Chir Scand Suppl, 1988; 544: 6268.
8. 任昊, 戈小虎, 劉杰, 等. 下肢淺靜脈手術后深靜脈瓣膜功能的變化 [J]. 國際外科學雜志, 2007; 34(12): 809812.
9. Kistner RL. Primary venous valve incompetence of the leg [J]. Am J Surg, 1980; 140(2): 218224.
10. Rosales A, Slagsvold CE, Kroese AJ, et al. External venous valve plasty (EVVP) in patients with primary chronic venous insufficiency (PCVI) [J]. Eur J Vasc Endovasc Surg, 2006; 32(5): 570576.
11. Lane RJ, Cuzzilla ML, McMahon CG. Intermediate to longterm results of repairing incompetent multiple deep venous valves using external valvular stenting [J]. ANZ J Surg, 2003; 73(5): 267274.
12. Perrin M, Hiltbrand B, Bayon JM. Results of valvuloplasty in patients presenting deep venous insufficiency and recurring ulceration [J]. Ann Vasc Surg, 1999; 13(5): 524532.
13. Dunn RM, Fudem GM, Walton RL, et al. Free flap valvular transplantation for refractory venous ulceration [J]. J Vasc Surg, 1994; 19(3): 525531.
14. Cheatle TR, Perrin M. Venous valve repair: early results in fiftytwo cases [J]. J Vasc Surg, 1994; 19(3): 404413.
15. 王志剛, 雷澤華, 余慎林. 靜脈腔內激光和傳統手術治療下肢靜脈曲張的近期療效比較 [J]. 中國普外基礎與臨床雜志, 2010; 17(4): 372375.
16. 楊國凱, 楊鏞, 何曉明, 等. 射頻閉合聯合動力旋切治療下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2009; 16(1): 6063.
17. 陳開, 劉崇清, 戴毅, 等. 應用微創刨吸術治療下肢靜脈曲張52例報告 [J]. 中國普外基礎與臨床雜志, 2005; 12(5): 515516.
18. Bergan JJ. Venous insufficiency and perforating veins [J]. Br J Surg, 1998; 85(6): 721722.
19. Zamboni P, Cisno C, Marchetti F, et al. Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for venous surgery [J]. Eur J Vasc Endovasc Surg, 2001; 21(4): 361369.
20. Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
21. Puggioni A, Lurie F, Kistner RL, et al. How often is deep venous reflux eliminated after saphenous vein ablation? [J]. J Vasc Surg, 2003; 38(3): 517521.
22. Walsh JC, Bergan JJ, Beeman S, et al. Femoral venous reflux abolished by greater saphenous vein stripping [J]. Ann Vasc Surg, 1994; 8(6): 566570.
23. Sales CM, Bilof ML, Petrillo KA, et al. Correction of lower extremity venous incompetence by ablation of superficial venous reflux [J]. Ann Vasc Surg, 1996; 10(2): 186189.
24. Ting AC, Cheng SW, Wu LL, et al. Changes in venous hemodynamics after superficial vein surgery for mixed superficial and deep venous insufficiency [J]. World J Surg, 2001; 25(2): 122125.
25. 任昊, 戈小虎, 劉杰, 等. 下肢靜脈曲張行淺靜脈手術對深靜脈瓣膜功能影響的研究 [J]. 中國普通外科雜志, 2008; 17(12): 12111216.
26. 王磊, 侯寶忠, 于威, 等. 外科治療原發性下肢靜脈曲張 [J]. 中國普外基礎與臨床雜志, 2007; 14(5): 605607.
27. 祿韶英, 祁光裕, 孫學軍, 等. 血管腔內激光治療下肢淺靜脈曲張的初步觀察 [J]. 中國普外基礎與臨床雜志, 2004; 11(5): 1.

《中國普外基礎與臨床雜志》

下肢淺靜脈手術后深靜脈瓣膜功能變化的中期結果報道

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《中國普外基礎與臨床雜志》

下肢淺靜脈手術后深靜脈瓣膜功能變化的中期結果報道

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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