Dortu J A, Constancias-Dortu I
Ann Chir. 1997;51(7):761-72.
Ambulatory phlebectomy, first described by R. Muller in 1996, is now considered to be one of the major treatments of varicose veins, either alone or in combination with surgery and sclerotherapy. The first objective of this article is to recall the technique of ambulatory phlebectomy. The second objective is to specify the indications of this method based on the results of a prospective study started 5 years ago. In 1992, we performed 897 successive ambulatory phlebectomies. Inclusion criteria in this study were based on clinical findings and pulsed Doppler ultrasound. Patients were reviewed after one month, six months, then annually until 1996 (clinical examination and pulsed Doppler ultrasound). The results of the technique were analysed as a function of the varicose territory treated. In conclusion, ambulatory phlebectomy has traditional indications (non-saphenous varicose veins, varicose veins of the foot, external pudendal varicose veins). Ambulatory phlebectomy can also be used as treatment for saphenous varicose veins when the saphenofemoral junction is continent or absent or when the saphenous termination is simple.
门诊静脉切除术由R. 米勒于1996年首次描述，现在被认为是静脉曲张的主要治疗方法之一，可单独使用，也可与手术及硬化疗法联合使用。本文的首要目的是回顾门诊静脉切除术的技术。第二个目的是根据5年前开始的一项前瞻性研究结果明确该方法的适应证。1992年，我们连续进行了897例门诊静脉切除术。本研究的纳入标准基于临床检查结果和脉冲多普勒超声。患者在术后1个月、6个月进行复查，之后每年复查直至1996年（临床检查和脉冲多普勒超声）。根据所治疗的静脉曲张区域分析该技术的结果。总之，门诊静脉切除术有传统的适应证（非隐静脉性静脉曲张、足部静脉曲张、外阴部静脉曲张）。当隐股静脉交界处无反流或缺失，或隐静脉末端情况简单时，门诊静脉切除术也可用于治疗隐静脉性静脉曲张。
