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残留静脉曲张和复发性静脉曲张的外科治疗(作者译)

[Surgical treatment of remaining varicose veins and recurrent varicose veins (author's transl)].

作者信息

Müller R P

出版信息

Z Hautkr. 1982 Feb 1;57(3):179-90.

PMID:7080577
Abstract

Remaining varicose veins ("Restvarikosis") after phlebexhairesis should be treated with sclerotic- and compression therapy, while often recurrent varicose veins ("Rezidivvarikosis") are an indication for re-operation. Main faults in phlebexhairesis are incomplete ligations of the tributaries of the saphenous vein. Iatrogenic damage of lymphatic vessels in the region of the foramen ovale should be reduced by very careful preparation of this region.

摘要

静脉切除术之后残留的静脉曲张(“残余静脉曲张”)应采用硬化剂和压迫疗法进行治疗,而经常复发的静脉曲张(“复发性静脉曲张”)则是再次手术的指征。静脉切除术的主要失误在于大隐静脉属支结扎不完全。应通过非常仔细地处理卵圆孔区域来减少该区域淋巴管的医源性损伤。

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