Cambal M, Labas P
1st Department of Surgery, University Hospital Bratislava, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Bratisl Lek Listy. 2008;109(9):391-5.
To asses the complex anti-reflux treatment of pure venous ulcers on all levels of venous system.
In the last 20 years the authors treated 793 patients with venous ulceration and compared the therapeutic results of 4 groups of patients treated either surgically (Linton+v.v. surgery) or with sclerotherapy (Fegan's technique) combined with the anti-reflux operation on deep veins in torpid ulcerations non responding to superficial and perforators therapy.
The authors consider a compression sclerotherapy (the Fegan's technique) the easiest and the most effective way of treating patients with venous ulcer. The direct valve repair techniques are appropriate only in non-thrombotic deep vein reflux, which is very rare (4 patients--0.6%). In patients with torpid ulcers, where the compression sclerotherapy failed (4.6%--28 pts), the in situ construction of a new valve could help (Tab. 2, Ref. 19). Full Text (Free, PDF) www.bmj.sk.
评估静脉系统各水平单纯静脉性溃疡的综合抗反流治疗。
在过去20年里，作者治疗了793例静脉性溃疡患者，并比较了4组患者的治疗结果，这4组患者分别接受手术治疗（林顿手术+静脉手术）或硬化疗法（费根技术），并结合对浅表和穿通支治疗无效的慢性溃疡患者进行深静脉抗反流手术。
作者认为压迫硬化疗法（费根技术）是治疗静脉性溃疡患者最简单且最有效的方法。直接瓣膜修复技术仅适用于非血栓形成性深静脉反流，这种情况非常罕见（4例患者——0.6%）。在慢性溃疡患者中，压迫硬化疗法失败的情况（4.6%——28例患者），原位构建新瓣膜可能会有帮助（表2，参考文献19）。全文（免费，PDF）www.bmj.sk 。
