Olivencia J A
Int Surg. 2000 Jul-Sep;85(3):266-9.
Subfascial endoscopic ligation of perforator veins (SEPS) is presently considered the procedure of choice for the treatment of venous ulcers. This study was undertaken in order to determine the efficacy and effectiveness of SEPS in the treatment of venous ulcers as reported in the literature.
428 active ulcers, treated by SEPS are included in this study.
Current world literature.
428 active ulcers were treated by SEPS. 17 patients had a history of a healed ulcer. 101 patients had moderately severe to severe lipodermatosclerosis. 79% of the active ulcers healed on average in 2.3 months, with a range of 21 days to 5.4 months. 2.8% recurrent ulcers were identified. 6.5% of the active ulcers did not heal. 5 active ulcers apparently got worse postoperatively. SEPS is both an efficacious and effective procedure in the treatment of venous ulcers.
目前，筋膜下交通静脉结扎术（SEPS）被认为是治疗静脉性溃疡的首选术式。本研究旨在确定文献报道的SEPS治疗静脉性溃疡的疗效和有效性。
本研究纳入了428例接受SEPS治疗的活动性溃疡。
当前世界文献。
428例活动性溃疡接受了SEPS治疗。17例患者有溃疡愈合史。101例患者有中度至重度脂肪皮肤硬化症。79%的活动性溃疡平均在2.3个月愈合，范围为21天至5.4个月。发现2.8%的溃疡复发。6.5%的活动性溃疡未愈合。5例活动性溃疡术后明显恶化。SEPS是治疗静脉性溃疡的一种有效方法。
