Stio F, Giacomelli L, Minocchi L, De Vita M, Iavarone C, Gallinacci E, Braccioni A
Istituto di III Clinica Chirurgica Genrale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1995 Oct;16(10):459-60.
The Authors report their experience of out-patient phlebectomy. Over a period of 5 years they have examined 186 patients (156 females, 30 males): 166 had micro- and extra-saphenic varicosities, while 20 had recurrent varices. Patients with ostium failure were excluded. Muller's out-patient phlebectomy implies an accurate mapping of varicosities, local anaesthesia, microincisions which are only exceptionally sutured. The Authors consider that an accurate elastic pressure bandage is indispensable and useful in order to improve the dynamics of the PVC and to avoid haemorrhages. Such a surgical technique bears aesthetic, economic and haemodynamic advantages.
作者报告了他们在门诊进行静脉切除术的经验。在5年的时间里，他们检查了186例患者（156例女性，30例男性）：166例有小隐静脉和大隐静脉以外的静脉曲张，20例有复发性静脉曲张。排除了瓣膜功能不全的患者。穆勒门诊静脉切除术意味着要精确绘制静脉曲张的分布图，采用局部麻醉，做微小切口，仅在极少数情况下进行缝合。作者认为，精确的弹性压力绷带对于改善原发性静脉曲张的动态变化和避免出血是必不可少且有用的。这种手术技术具有美学、经济和血液动力学方面的优势。
