Pampari G C, Contini S, Japichino G G
Istituto di Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi di Parma.
Acta Biomed Ateneo Parmense. 1988;59(3-4):111-5.
Insufficiency of the sapheno-popliteal junction may be the first sign of varicose disease, and represents one of several ways that lower limb-venous insufficiency uses to present itself. Doppler ultrasound is particularly helpful in diagnosing this often subclinical insufficiency. Based on satisfactory results in a series of 18 patients treated between 1985 and 1988 (mean follow-up 1.5 years), the authors suggest treating sapheno-popliteal junction insufficiency by means of crossectomy, under local anesthesia, and on an out-patient basis. When surgical treatment is performed during the first stages of the disease, the consequent irreversible damages to the lesser saphenous vein due to stasis are avoided, and thereby, a true varicose state is avoided.
隐-腘静脉交界处功能不全可能是静脉曲张疾病的首个迹象，也是下肢静脉功能不全的几种表现方式之一。多普勒超声对于诊断这种常常处于亚临床状态的功能不全特别有帮助。基于1985年至1988年间对18例患者进行治疗（平均随访1.5年）所取得的满意结果，作者建议在局部麻醉下，以门诊手术的方式通过横切术治疗隐-腘静脉交界处功能不全。在疾病的第一阶段进行手术治疗时，可避免因淤血对小隐静脉造成的不可逆转的损害，从而避免真正的静脉曲张状态。
