Quiroli A
Minerva Chir. 1977 Sep 15;32(17):1051-9.
The latest findings in varicose relapses of the lower extremities are described, and the most significant bibliographic data discussed. The most frequent causes, the anatomo-topographical distribution and the causal therapy are examined. It is also point out that recurrent varices occur much less frequently than some years ago, the reason being knowledge of the disease's aetiology and hence of the most rational, radical treatment for it. In presenting 25 operations, 15 of them for post-operative recurrence and 10 for recurrences following sclerosing therapy, it is pointed out that out of 518 cases of varicose veins operated on in the Department since 1971, no case of varicose recurrence has ever been encountered. This is attributed to the eclecticism and rigour of the surgical technique. Stress is laid on the words of Martinet and Tubiana in 1950 "...treatment of varicose veins is far from being as simple as many believe...". Treatment must in fact be chosen case by case.
本文描述了下肢静脉曲张复发的最新研究结果，并讨论了最重要的文献数据。研究了最常见的病因、解剖-地形分布及病因治疗。还指出，复发性静脉曲张的发生频率比几年前低得多，原因是对该疾病病因的了解，以及因此对其最合理、彻底的治疗方法的掌握。在介绍25例手术时，其中15例为术后复发，10例为硬化治疗后复发，文中指出，自1971年以来，该科室进行了518例静脉曲张手术，从未遇到过静脉曲张复发的病例。这归因于手术技术的折衷性和严谨性。文中强调了1950年马蒂内和图比亚纳所说的话：“……静脉曲张的治疗远不像许多人认为的那么简单……”。事实上，治疗必须根据具体情况进行选择。
