De Roos K P, Neumann H A
Department of Dermatology, Sint Joseph Ziekenhuis, Veghel, The Netherlands.
Dermatol Surg. 1998 Apr;24(4):465-70. doi: 10.1111/j.1524-4725.1998.tb04189.x.
Ambulatory phlebectomy is an accepted therapy for varicose veins. It has also been used for ankle and foot varicosities with success although the anatomy of the venous system of the foot is poorly described in the literature.
To review the relevant literature on the anatomy of the veins of the foot. Also to form an opinion on safe possibilities for the treatment of foot varicosis.
The English, French, German, and Dutch language literature was reviewed for anatomy and treatment of varicose veins of the foot. Fourteen patients (19 feet) were treated for varicose veins of the foot with ambulatory phlebectomy.
Literature concerning the venous anatomy of the foot is very limited. Venous surgery, sclerotherapy, and ambulatory phlebectomy have all been used for the treatment of varicose veins of the foot. The former two have resulted in serious complications. All treated patients showed excellent results with ambulatory phlebectomy. No serious side effects were seen.
The venous anatomy of the foot does not indicate major restrictions in the treatment of its varicosities. Ambulatory phlebectomy is the safest and most elegant treatment option for varicose veins of the foot. Venous surgery and sclerotherapy may be used successfully in special cases only.
门诊静脉切除术是治疗静脉曲张的一种公认疗法。它也已成功用于治疗踝部和足部静脉曲张，尽管足部静脉系统的解剖结构在文献中描述甚少。
回顾关于足部静脉解剖的相关文献。并就足部静脉曲张的安全治疗可能性形成观点。
查阅英文、法文、德文和荷兰文文献中有关足部静脉曲张的解剖及治疗内容。对14例患者（19只脚）行门诊静脉切除术治疗足部静脉曲张。
关于足部静脉解剖的文献非常有限。静脉手术、硬化疗法和门诊静脉切除术均已用于治疗足部静脉曲张。前两者已导致严重并发症。所有接受治疗的患者行门诊静脉切除术后均显示出极佳效果。未见严重副作用。
足部静脉解剖结构并未显示出对其静脉曲张治疗有重大限制。门诊静脉切除术是治疗足部静脉曲张最安全、最理想的治疗选择。静脉手术和硬化疗法仅在特殊情况下可成功应用。
