Perrin M
Unité de Pathologie Vasculaire Jean Kunlin, Clinique du Grand Large, Decines Charpieu.
Phlebologie. 1987 Jul-Sep;40(3):655-72.
After a brief anatomical reminder, the author discusses the place of surgery of the perforating veins in chronic venous deficiency, in three distinct aetiological and clinical circumstances: A first-hand prospective study of 220 successive operations for primary varices is analysed. In 14.5% of the cases, ligation of the perforators was associated with the stripping. In a retrospective analysis relating to 100 surgical reoperations on primary varices, the ligation of the perforators was associated with a different procedure in 13 of these patients. Finally, the author specifies the place of surgery of the perforators in the treatment of post-phlebitic syndrome. As regards the relapsing ulcer, 81% of the patients who had benefitted from this procedure never suffered relapsed ulcers (27 patients).
在简短的解剖学回顾之后，作者讨论了在三种不同病因和临床情况下，交通静脉手术在慢性静脉功能不全中的地位：对220例连续进行的原发性静脉曲张手术进行了第一手前瞻性研究分析。在14.5%的病例中，交通静脉结扎与剥脱术同时进行。在一项关于100例原发性静脉曲张手术再手术的回顾性分析中，其中13例患者的交通静脉结扎与不同的手术方法相关。最后，作者明确了交通静脉手术在静脉炎后综合征治疗中的地位。关于复发性溃疡，接受该手术的患者中有81%（27例患者）从未复发溃疡。
