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[复杂静脉曲张疾病中腿部交通静脉的手术]

[Surgery of communicating veins of the leg in complicated varicose disease].

作者信息

Les'ko V A

出版信息

Khirurgiia (Mosk). 2001(9):50-3.

Abstract

Comparative analysis of elimination of blood regurgitation via crus communicant veins in varicose disease complicated by trophic disorders (lipodermal sclerosis and trophic ulcers) was carried out in two groups of patients. In groups 1(120 cases) routine Cocett's and Linton's operations with long stripping of venous trunks were performed. In group 2 (68 cases) minimally-invasive methods--distant communicantectomy and partial stripping--were used. Surgical techniques, short- and long-term results are described. In group 1 there were 26.6% of wound complications and 60% of crus neuropathies in remote period. In 2 group operations were performed 4 times faster, with insignificant blood loss, accompanied by primary adhesion and early discharge of patients. Period of temporary disability in these patients was less than in group 1, rate of neuropathies was 5.8%.

摘要

对两组患有静脉曲张疾病并发营养障碍(脂肪皮肤硬化症和营养性溃疡)的患者,就通过交通静脉消除血液反流情况进行了对比分析。第1组(120例)采用常规的科塞特手术和林顿手术,对静脉主干进行长时间剥脱。第2组(68例)采用微创方法——远端交通静脉切除术和部分剥脱术。描述了手术技术、短期和长期结果。第1组有26.6%的伤口并发症,远期有60%的小腿神经病变。第2组手术速度快4倍,失血量少,伴有原发性粘连且患者早期出院。这些患者的暂时残疾期短于第1组,神经病变发生率为5.8%。

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