Scavée V, Lemaire E, Haxhe J P
Department of Thoracic and Vascular Surgery, Clinique Saint-Pierre, University Affiliated Hospital Université Catholique de Louvain (UCL), Ottignies, Belgium.
Int Angiol. 2005 Mar;24(1):75-9.
Transilluminated powered phlebectomy (TIPP) was first described in 1996 by Sptiz et al. and was designed to allow minimally invasive surgical treatment of varicose veins (VV). We report our updated experience with TIPP technique.
Between January 2001 and February 2004, 84 patients underwent treatment by TIPP technique for primary symptomatic VV. Saphenofemoral junction with complete stripping of the great saphenous vein was performed in all patients. Incompetent perforating veins was ligated and prominent VV were ablated with TIPP technique.
Mean age of patients was 50.6 years (range 29-79 years) and most of patients were women (73%). The major varicose vein risk factors were standing position and parity. Heaviness (62%), pain (57%) and unsightly veins (30%) were the most common indications for surgery. The mean number of surgical incisions was 6 (range 3-10), the average operative time was 59 min (range 30-100 min) and the mean cosmetic score (out of 10) at 6 weeks was 8 (range 2-10). The mean pain score (out of 10) was at 2 days, 7 days and 6 weeks was 5, 3 and 0, respectively. All the complications were documented.
The TIPP technique is safe without any adverse events, presents advantages and inconvenient which are discussed in this paper.
透光动力静脉切除术（TIPP）于1996年由斯皮茨等人首次描述，旨在实现对静脉曲张（VV）的微创外科治疗。我们报告了我们在TIPP技术方面的最新经验。
在2001年1月至2004年2月期间，84例患者接受了TIPP技术治疗原发性有症状的VV。所有患者均进行了隐股静脉交界处及大隐静脉的完全剥脱。对功能不全的穿支静脉进行结扎，并用TIPP技术消融突出的VV。
患者的平均年龄为50.6岁（范围29 - 79岁），大多数患者为女性（73%）。主要的静脉曲张危险因素是站立姿势和生育情况。沉重感（62%）、疼痛（57%）和静脉外观不佳（30%）是最常见的手术指征。手术切口的平均数量为6个（范围3 - 10个），平均手术时间为59分钟（范围30 - 100分钟），6周时的平均美容评分（满分10分）为8分（范围2 - 10分）。疼痛评分（满分10分）在术后2天、7天和6周时分别为5分、3分和0分。所有并发症均有记录。
TIPP技术安全无任何不良事件，具有本文所讨论的优点和不便之处。
