Vollmar J F
Abteilung für Gefäss- und Thoraxchirurgie des Klinikums der Universität Ulm.
Langenbecks Arch Chir. 1988;Suppl 2:165-8.
The main prerequisites for successful reconstructive venous surgery include (1) critical selection of patients according to morphological and functional diagnostic aspects; (2) optimal surgical techniques; (3) the routine use of intraoperative lumen control in all disobliterative procedures (vascular endoscopy, phlebography); and (4) selective use of protective measures (temporary a.v. fistula, anticoagulans). Expanded PTFE-prostheses with increased microporosity and external ring support are the most suitable substitutes for big veins. Antireflux surgery, such as valvuloplasty, transposition technique and free valvular transfer, is a new approach for the repair of deep venous insufficiency.
（1）根据形态学和功能诊断方面严格挑选患者；（2）采用最佳手术技术；（3）在所有再通手术（血管内镜检查、静脉造影）中常规使用术中管腔控制；（4）选择性使用保护措施（临时性动静脉瘘、抗凝剂）。具有增加的微孔率和外部环形支撑的膨体聚四氟乙烯人工血管是大静脉最合适的替代物。抗反流手术，如瓣膜成形术、转位技术和游离瓣膜移植，是治疗下肢深静脉瓣膜功能不全的一种新方法。
