摘要
目的探讨下肢静脉曲张手术术后复发的原因以及分析再次手术治疗的临床疗效。方法选取2014年2月至2016年1月收治的80例(89条)术后复发下肢静脉曲张的患者为研究对象。采用超声检查和下肢深静脉造影方法判断其复发的原因,根据检查结果采取相应的处理方法。结果大隐静脉全段主干或属枝残留23条,深静脉瓣膜功能不全30条,小隐静脉瓣膜功能不全18条,小隐静脉曲张4条;腹股沟区新生血管形成10条,髂静脉受压综合征2条,布加氏综合征2条。经再次手术后所有患者术后下肢浅静脉曲张治愈率100%,术后无下肢深静脉血栓形成病例,无手术切口感染、延迟愈合病例。结论下肢静脉曲张术前做好全面的诊断,术中注意操作方式方法,有利于降低术后的复发率。针对下肢静脉曲张复发病例,了解复发原因,制定相应的治疗方法,可有效并避免术后复发。
Objective To discuss the cause of relapse after the first surgery of varicose veins,and analyze the clinical efficacy of surgical treatment again. Methods 80 cases（ 89 strips） of recurrence varicose veins from February 2014 to January 2016 were selected as the research object. Using ultrasound and deep venous angiography to determine the cause of its recurrence,and take the appropriate treatment based on test results. Results Saphenous vein trunk or the whole paragraph belongs to the residual 23 strips,deep venous insufficiency 30 strips,the small saphenous vein insufficiency 18 strips,the small saphenous vein 4; groin area neovascularization 10 strips,iliac vein compression syndrome 2 strips,Budd-Chiari syndrome 2 strips. After surgery again,the cure rate was 100% and no postoperative deep venous thrombosis,surgical wound infection,delayed healing happened. Conclusion Varicose veins before surgery to do a comprehensive diagnosis,intraoperative attention to ways and means of operation,help to reduce the recurrence rate. For cases of recurrent varicose veins,to understand the causes of recurrence,develop appropriate treatment method. It can be effectively and avoid recurrence.
出处
《临床和实验医学杂志》
2016年第8期807-810,共4页
Journal of Clinical and Experimental Medicine
关键词
下肢静脉曲张
复发
手术治疗
临床疗效
Varicose veins
Vauses of resonance
Surgical treatment
Clinical efficacy
