Marconato R, Scorza R, Pelli P
Minerva Chir. 1981 Oct 31;36(20):1333-6.
One to ten year follow-up of 90 patients with post-phlebitis syndromes in various stages is reported. Stress is laid on the fact that treatment of the post-phlebitic limb has not yet been clearly defined, and that various medical and surgical measures are adopted from one case to another. A personal preference for surgical management, restricted to the superficial circulation and the "projected" interruption of incompetent communicating vessels, is expressed, though if considerable trophic lesions are present their regression by means of medical treatment only is regarded as an essential prerequisite to surgery. "Restricted" surgical management gave results that were more than satisfactory in 72.7% of cases, as in other series in the literature.
报告了对90例处于不同阶段静脉炎后综合征患者进行的1至10年随访。着重指出的是,静脉炎后肢体的治疗尚未明确界定,不同病例采用了各种内科和外科措施。尽管如果存在相当严重的营养性损害,仅通过内科治疗使其消退被视为手术的必要前提,但仍表达了对手术治疗的个人偏好,手术仅限于浅静脉循环和对功能不全交通支的“预期”阻断。与文献中的其他系列研究一样,“限制性”手术治疗在72.7%的病例中取得了非常令人满意的结果。