大隐静脉不完全切除是复发性静脉曲张最常见的原因。

Incomplete removal of great saphenous vein is the most common cause for recurrent varicose veins.

机构信息

Department of General and Vascular Surgery, Watford General Hospital, Watford, UK.

出版信息

Angiology. 2011 Feb;62(2):198-201. doi: 10.1177/0003319710375090. Epub 2010 Aug 16.

DOI:10.1177/0003319710375090

PMID:20713489

Abstract

OBJECTIVE

Hie-tie and great saphenous vein (GSV) stripping decreases recurrence of varicose veins (VVs). However, varying lengths of residual-GSV are observed in patients with previous GSV stripping. This may explain high recurrence rates of VVs. The proportion of recurrent VV occurring secondary to suboptimal GSV stripping is calculated.

METHODS

Patients with recurrent VV (CEAP-class > C2) underwent venous duplex-ultrasound.

RESULTS

419 limbs were investigated in 298 patients (189 women and 109 men); median age for women and men was 60 and 61 years, respectively; 32.2% had reflux in residual-GSV; 30.3% had groin-reflux; 20% had reflux in sapheno-popliteal confluence (SPC); 10.2% had primary segmental deep-venous incompetence (DVI), and 6.9% had reflux at multiple sites. The frequency of reflux in the residual-GSV was significantly greater than that of reflux in the SPC (P < .0001) and DVI (P < .0001) but not groin (P = .3652).

CONCLUSION

Residual-GSV is an important cause for recurrent VV.

摘要

目的

Hie-tie 和大隐静脉（GSV）剥脱术可降低静脉曲张（VVs）的复发率。然而，在先前接受 GSV 剥脱术的患者中，观察到残留 GSV 的长度不同。这可能解释了 VVs 复发率高的原因。计算继发于 GSV 剥脱术效果不佳的复发性 VV 的比例。

方法

对复发性 VV（CEAP 分级> C2）患者进行静脉双功能超声检查。

结果

298 例患者的 419 条肢体接受了调查（女性 189 例，男性 109 例）；女性和男性的中位年龄分别为 60 岁和 61 岁；32.2%的残留 GSV 存在反流；30.3%的腹股沟存在反流；20%的 SPC 存在反流；10.2%的原发性节段性深静脉功能不全（DVI），6.9%的存在多处反流。残留 GSV 的反流频率明显高于 SPC（P <.0001）和 DVI（P <.0001），但与腹股沟（P =.3652）无差异。