Matsubara J, Ban I, Nakata Y, Shinjo K, Hirai M, Kawai S, Suzuki S, Itasaka M
MMW Munch Med Wochenschr. 1975 May 2;117(18):755-8.
In the last 6 years we have treated 132 patients with varices of the lower extremities and operated on 65 of them. We came to the following conclusions: 1. Stripping of the saphenous vein with subfascial ligature of the incompetent venae communicantes is essential for the complete treatment of primary varicosity with or without ulcer. 2. Pelvic phlebography is necessary to exclude secondary varicosities in both bilateral and unilateral varices. 3. The removal of secondary varices has a definitely negative result if recanalisation is incomplete; i.e. they ought not to be extirpated if the outflow from the great saphenous vein is directed centrally on walking.
在过去6年中，我们共治疗了132例下肢静脉曲张患者，其中65例接受了手术治疗。我们得出以下结论：1. 对于伴有或不伴有溃疡的原发性静脉曲张的彻底治疗，隐静脉剥脱术联合对功能不全的交通静脉进行筋膜下结扎是必不可少的。2. 盆腔静脉造影对于排除双侧和单侧静脉曲张中的继发性静脉曲张是必要的。3. 如果再通不完全，切除继发性静脉曲张肯定会产生负面结果；也就是说，如果在行走时大隐静脉的血流是向心性的，就不应该切除继发性静脉曲张。
