下肢深静脉瓣膜功能不全的体外瓣膜成形术技术
External valvuloplasty technique in deep venous valve insufficiency of the lower limbs.
作者信息
Wang S, Li X, Wu Z, Huang X, Ye Y
机构信息
Department of Vascular Surgery, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080, China.
出版信息
Chin Med J (Engl). 1999 Aug;112(8):717-9.
OBJECTIVE
To evaluate the therapeutic effects of external valvuloplasty technique in deep venous valve insufficiency of the lower limbs.
METHODS
External valvuloplasty of the femoral vein valve was performed in 30 patients(41 limbs) with deep venous valve insufficiency of the lower limbs. The patients ranged in age from 16 to 69 years (mean +/- s, 50.8 +/- 9.2). External valvuloplasty of the first pair of superficial femoral vein valve was carried out in all limbs. External valvuloplasty of the second pair of superficial femoral vein valve was added in 7 limbs and valvuloplasty of the common femoral vein valve in 6 limbs.
RESULTS
Venous claudication, swelling, aching disappeared in 78.0% limbs (32), obvious improvement was seen in 22.0% (9), and varicosis disappeared in all limbs. Ulcer healing was observed in 80% (8/10) limbs. Deep venous valve sufficiency was shown in 90.2% limbs, and reflux I degree-II degree in 4 by color Doppler.
CONCLUSION
External valvuloplasty is an effective method to treat deep venous valve insufficiency of the lower limbs.
目的
评估体外瓣膜成形术治疗下肢深静脉瓣膜功能不全的疗效。
方法
对30例（41条肢体）下肢深静脉瓣膜功能不全患者行股静脉瓣膜体外成形术。患者年龄16至69岁（平均±标准差，50.8±9.2）。所有肢体均行第一对股浅静脉瓣膜体外成形术。7条肢体加做第二对股浅静脉瓣膜体外成形术，6条肢体加做股总静脉瓣膜成形术。
结果
78.0%（32条）肢体的静脉性跛行、肿胀、疼痛消失，22.0%（9条）明显改善，所有肢体静脉曲张消失。80%（8/10）肢体溃疡愈合。彩色多普勒显示90.2%肢体深静脉瓣膜功能良好，4条肢体反流Ⅰ度 - Ⅱ度。
结论
体外瓣膜成形术是治疗下肢深静脉瓣膜功能不全的有效方法。
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