摘要
目的探讨腔镜筋膜下交通支离断术加静脉腔内激光治疗下肢静脉曲张性溃疡的疗效。方法选择2007年1月～2008年12月收住的下肢静脉曲张合并静脉性溃疡患者27例(29条患肢),使用腹腔镜行深筋膜下交通支离断,半导体激光治疗仪处理大隐静脉主干及小腿曲张静脉支,观察各种临床症状的缓解情况及溃疡愈合时间。结果所有患肢症状明显减轻,浅静脉曲张消失,溃疡均于手术后1～4周内愈合。全部病例随访4～18个月,无静脉曲张形成及溃疡复发。结论腔镜深筋膜下交通支离断术联合静脉腔内激光治疗下肢静脉曲张性溃疡微创、安全、操作简便、疗效确切。
[Objective]To evaluate the role of subfascial endoscopic perforating surgery combined with endovenous laser treatment in treatment of patients with variceal ulcer of lower extremities.[Methods]Twenty-seven cases （29 limbs） underwent subfascial endoscopic perforating surgery and endovenous laser treatment during January 2007 to December 2008, and the relief of clinical symptoms and healing time of ulceration were observed. [Results]The symptoms of all affected limbs were relieved remarkably and superficial varicosis disappeared; ulcers were healed in 1 to 4 weeks. During a 4 to 18 months follow-up, there was no ulceration or varicose vein recurred in all patients. [Conclusion]It is effective, easy-performing, safe-operating and minimally invasive that subfascial endoscopic perforating surgery combined with endovenous laser treatment treat variceal ulcer of lower extremities.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第6期641-643,共3页
China Journal of Endoscopy
