Constancias-Dortu I, Dortu J A
Phlebologie. 1991 Jul-Oct;44(3):671-81.
The indications of Out-Patient Phlebectomy have been defined and confirmed. These indications are multiple and cover broad range. Anatomical indications concerning the lower limb essentially concern: primary varicose veins, residual varicose veins after surgery, varicosities affecting long or collateral veins, systems at the top of the thigh or in the popliteal fossa, varicose veins of the foot. Indications concerning the upper limb, abdomen and face must be carefully weighed. In a context of post-phlebitis, meticulous analysis of hemodynamics and careful monitoring are required. Superficial thrombophlebitis is a good indication for out-patient phlebotomy. Decisions concerning esthetic indications must be based upon a certain number of criteria: informed consent of the patient, assessment of general risk factors, assessment of esthetic risk factors.
门诊静脉切除术的适应证已得到明确和确认。这些适应证多种多样,涵盖范围广泛。关于下肢的解剖学适应证主要涉及:原发性静脉曲张、手术后残留的静脉曲张、影响大隐静脉或侧支静脉的静脉曲张、大腿上部或腘窝处的静脉系统、足部静脉曲张。关于上肢、腹部和面部的适应证必须仔细权衡。在静脉炎后,需要对血流动力学进行细致分析并仔细监测。浅表血栓性静脉炎是门诊静脉切开术的良好适应证。关于美容适应证的决定必须基于一定数量的标准:患者的知情同意、一般危险因素的评估、美容危险因素的评估。