Kistner R L
Int Angiol. 1985 Oct-Dec;4(4):429-33.
This paper describes our overall experience with venous reconstructive surgery in the past 15 years. A thorough diagnostic evaluation of the patient with advanced chronic venous insufficiency is necessary to guide the surgeon in selecting a surgical approach that will address the specific problem in each patient. The diagnostic workup will separate those with insufficiency due to valve incompetence from those with deep vein obstruction as the basis for their problem. The operations vary from vein ligations to valve reconstruction or transplantation for valve incompetence and venous bypasses for obstructive problems. An aggressive surgical attitude in chronic venous disease makes it possible to restore selected patients to full activity with symptom-free extremities rather than teaching them to live within the confines of their disease state by nonsurgical management.
本文描述了我们在过去15年中进行静脉重建手术的总体经验。对于患有晚期慢性静脉功能不全的患者，进行全面的诊断评估对于指导外科医生选择能够解决每位患者具体问题的手术方法是必要的。诊断检查将因瓣膜功能不全导致功能不全的患者与因深静脉阻塞导致功能不全的患者区分开来，以此作为他们问题的基础。手术方式从静脉结扎到瓣膜重建或瓣膜功能不全的移植以及阻塞性问题的静脉搭桥不等。在慢性静脉疾病中采取积极的手术态度有可能使选定的患者恢复到完全活动状态，肢体无症状，而不是通过非手术治疗让他们在疾病状态的限制下生活。
