Etienne G, Hévia M, Constantin J M
Unité de Chirurgie Vasculaire, Clinique Saint-Joseph, Angoulême.
J Mal Vasc. 1995;20(1):45-7.
Varicose veins stripping is often a difficult procedure when lipodermatosclerosis or ulcers are present, because malleolar incision is impossible. On the contrary, cryo-stripping is performed by a single incision of the groin or the popliteal fossa. A cryroprobe is inserted into the vein lumen, after ligating and interrupting the sapheno-femoral or popliteal junction. The lower saphenous extremity is frozen. The vein is broken and returned inside-out by removing the cryo-probe upwards. Upon 3,811 legs operated on from 1988 to 1994, there were 265 liposclerosis and 114 ulcers. Deep venous insufficiency was associated 43 times. In less than three months, all but six ulcers were healed. These six patients suffered from post phlebitic syndrome. Cryo-stripping is an efficient method in the treatment of unhealing infected ulcers or severe venous lipodermatosclerosis.
当存在脂肪皮肤硬化症或溃疡时，大隐静脉剥脱术通常是一项困难的手术，因为无法进行内踝切口。相反，冷冻剥脱术通过腹股沟或腘窝的单一切口进行。在结扎并中断大隐静脉-股静脉或腘静脉交界处后，将冷冻探头插入静脉腔内。大隐静脉远端被冷冻。通过向上移除冷冻探头，静脉破裂并翻转出来。在1988年至1994年接受手术的3811条腿中，有265例脂肪硬化症和114例溃疡。深静脉功能不全伴发43次。在不到三个月的时间里，除6例溃疡外，其余均愈合。这6例患者患有静脉炎后综合征。冷冻剥脱术是治疗不愈合的感染性溃疡或严重静脉脂肪皮肤硬化症的有效方法。
