Fischer R, Sattler G, Vanderpuye R
Clinique dermatologique des Hôpitaux de la ville de Darmstadt.
Phlebologie. 1993 Oct-Dec;46(4):701-7.
Blind dissection of incompetent perforators is common practice for vein surgeons. Since many years some of them have been trying to do this endoscopically by means of the proctoscope or other endoscopes used for different purposes. At present however several surgeons are developing special instruments for this type of endoscopy. Lately some of these surgeons came together to work up their experiences and to study the probable future of the method. It permits the diagnosis and at the same time the treatment of incompetent perforators. It allows the healthy ones to be spared. All this can be done from a small incision distant to the site of the perforators where the skin often presents with trophic changes. However general or regional anesthesia as well as the bloodless limb technique are prerequisites. As any endoscopy also this one has its specific dangers and complications and therefore has to be learned and performed carefully.
对于静脉外科医生来说，盲目解剖功能不全的穿支静脉是常见的做法。多年来，他们中的一些人一直试图通过直肠镜或用于不同目的的其他内窥镜进行内镜下操作。然而目前，一些外科医生正在开发用于这种类型内窥镜检查的特殊器械。最近，这些外科医生中的一些人聚在一起总结经验，并研究该方法可能的未来发展。它允许对功能不全的穿支静脉进行诊断并同时进行治疗。它可以使健康的穿支静脉得以保留。所有这些都可以通过一个远离穿支静脉部位的小切口来完成，此处皮肤常常有营养性改变。然而，全身麻醉或区域麻醉以及无血肢体技术是先决条件。和任何内窥镜检查一样，这种检查也有其特定的风险和并发症，因此必须认真学习并谨慎操作。
