The role of the perforating veins in the physiopathology and treatment of varicose disorder and of post-phlebitic syndromes is the subject of this study, based on the results of 5 000 observations of surgery of the veins in the lower limbs. Neglect of the perforators is responsible for a sizeable percentage of relapse after the simple stripping of the saphenous axes. In post-phlebitic syndrome and, more particularly, in trophic disorders, they play a major part, and ought to be the object of thorough investigation, using clinical examination, the Doppler and phlebography.
基于5000例下肢静脉手术的观察结果,本研究探讨了穿通静脉在静脉曲张疾病及静脉炎后综合征的生理病理及治疗中的作用。在单纯大隐静脉主干剥脱术后,相当大比例的复发是由于对穿通静脉的忽视。在静脉炎后综合征,尤其是在营养障碍中,穿通静脉起主要作用,应通过临床检查、多普勒检查和静脉造影进行全面研究。