Lo Yung-Feng, Yang Chih-Hsun
Department of General Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Semin Cutan Med Surg. 2005 Dec;24(4):200-8. doi: 10.1016/j.sder.2005.10.004.
Successful varicose vein surgery depends on accurate preoperative assessment and individualized treatment for various combinations of venous insufficiency. Noninvasive duplex scanning is currently the gold standard in varicose vein evaluation. Flush ligation and division of the great saphenous vein and its tributaries, inverted downward stripping to below the knee combined with stab avulsion of varicosities, have yielded excellent results for patients with great saphenous vein reflux. Additionally, identifying and correcting incompetent calf perforating veins is necessary to achieve a satisfactory outcome. Neovascularization at the saphenofemoral junction and varicose vein recurrence and their treatment remain unsolved and require further investigation.
成功的静脉曲张手术取决于对静脉功能不全的各种组合进行准确的术前评估和个体化治疗。目前，无创双功超声扫描是静脉曲张评估的金标准。大隐静脉及其属支的高位结扎剥脱术，向下翻转剥脱至膝下并结合曲张静脉的点状剥脱术，对于大隐静脉反流患者已取得了良好的效果。此外，识别并纠正小腿交通静脉功能不全对于获得满意的治疗效果是必要的。大隐静脉股静脉交界处的新生血管形成、静脉曲张复发及其治疗仍未得到解决，需要进一步研究。
