Padberg F T
Department of Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, USA.
Ann Vasc Surg. 1999 May;13(3):343-54. doi: 10.1007/s100169900268.
Endoscopic methods have proven as efficacious as previous open surgical techniques for ligation of calf perforating veins. The reduced incidence of wound complications favors the minimally invasive approach regardless of the technique used. Since isolated disease of the calf perforating veins is rare, most of these procedures are performed in conjunction with superficial venous ablation. These advanced procedures are indicated for patients with skin and subcutaneous manifestations of CVI (CEAP classes 4, 5, and 6). Although the contribution of perforator ligation to the hemodynamic and clinical result is unclear, clinical symptoms and hemodynamics have significantly improved when performed as described.
内镜治疗方法已被证明在结扎小腿交通静脉方面与先前的开放手术技术一样有效。无论采用何种技术，伤口并发症发生率的降低都有利于微创方法。由于单纯小腿交通静脉疾病很少见，大多数此类手术是与浅静脉消融联合进行的。这些先进手术适用于患有慢性静脉功能不全皮肤和皮下表现的患者（CEAP分级4、5和6级）。尽管交通静脉结扎对血流动力学和临床结果的贡献尚不清楚，但按所述进行手术时，临床症状和血流动力学已得到显著改善。
