Jugenheimer M
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Med Klin (Munich). 1992 Jun 15;87(6):289-92.
Subfascial dividing of insufficient perforating veins is considered the most effective therapeutic principle in the treatment of primary varicosis and postthrombotic changes or varicosis-related trophic disturbances of the skin. A new endoscopic technique allows these veins to be sectioned under direct vision, with little trauma. Between November, 1986 and August 1991, 74 patients underwent endoscopic sectioning of perforating veins in a total of 106 legs. In 100 legs, the procedure was combined with a conventional stripping operation. The perforating veins divided most frequently involved the Cockett group (223), the 24 cm perforating vein (86) and the Boyd group (83). In three legs (2.8%) showing trophic skin changes in the lower leg area impaired wound healing was seen postoperatively. Follow-up examination carried out 27 months after the procedure revealed insufficient perforating veins in two of the legs treated. New varices were seen in nine legs. In terms of staging of chronic venous insufficiency, either a more favourable stage or complete healing can be achieved in 90 of the cases.
筋膜下离断功能不全的交通静脉被认为是治疗原发性静脉曲张、血栓形成后改变或与静脉曲张相关的皮肤营养障碍最有效的治疗原则。一种新的内镜技术能够在直视下离断这些静脉，创伤极小。1986年11月至1991年8月，74例患者共106条腿接受了内镜下交通静脉离断术。其中100条腿的手术联合了传统的剥脱术。离断最多的交通静脉涉及科克特组（223条）、24厘米交通静脉（86条）和博伊德组（83条）。3条腿（2.8%）小腿区域出现皮肤营养改变，术后可见伤口愈合受损。术后27个月进行的随访检查发现，接受治疗的两条腿中交通静脉功能不全。9条腿出现了新的静脉曲张。就慢性静脉功能不全的分期而言，90例患者可达到更有利的分期或完全愈合。
