Perrin M
Chirurgie Vasculaire, Clinique du Grand Large, Decines Charpieu.
Ann Chir. 1997;51(7):735-44.
For a long time, high ligation and stripping of the saphenous trunk was the only technique used to deal with primary varicose veins when surgical treatment was recommended. Duplex ultrasound has demonstrated that this attitude is not well-founded in many cases. Alternative techniques have been proposed and performed. Some of them have not been submitted to randomised and prospective studies. Others, particularly high ligation and stab avulsion of collaterals with preservation of the long saphenous trunk, have been evaluated. The author indicates in which cases high ligation + stripping of the saphenous trunk remains justified and in which situations it is not. All indications must be based on clinical examination and duplex ultrasound.
长期以来，当建议采用手术治疗原发性静脉曲张时，大隐静脉主干高位结扎剥脱术是唯一使用的技术。双功超声已表明，在许多情况下这种做法缺乏充分依据。已提出并实施了替代技术。其中一些技术尚未进行随机前瞻性研究。其他技术，特别是大隐静脉主干保留的大隐静脉高位结扎及侧支静脉挑出撕脱术，已得到评估。作者指出了大隐静脉主干高位结扎 + 剥脱术在哪些情况下仍然合理，哪些情况下不合理。所有适应症都必须基于临床检查和双功超声。
