[1]孙镇蛟,金旭文,林森旺,等.大隐静脉曲张刨吸术53例报告[J].中国微创外科杂志,2006,06(6):463-464.
　Sun Zhenjiao,Jin Xuwen,Lin Senwang,et al.Treatm ent of varicose greater saphenous vein w ith transillum inated powered phlebectomy: A report of53cases[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):463-464.
点击复制

大隐静脉曲张刨吸术53例报告()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
463-464
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Treatm ent of varicose greater saphenous vein w ith transillum inated powered phlebectomy: A report of53cases
作者:
孙镇蛟; 金旭文; 林森旺; 张维;  陆磊
上海市中西医结合医院微创外科,上海,200082
Author(s):
Sun Zhenjiao;  Jin Xuwen;  Lin Senwang;  et al.
Department of Minimally Invasive Surgery, Shanghai Hospital of Integration of Traditional Chinese and Western Medicine, Shanghai 200082, China
关键词:
静脉曲张; 大隐静脉; 刨吸术?
Keywords:
Varicosis; 　Great saphenous vein; 　Phlebectomy
分类号:
R654.3
文献标志码:
A
摘要:
目的探讨刨吸术(TriVex,transilluminated powered phlebectomy)治疗大隐静脉曲张的疗效. 方法 2003年3月～2005年6月,我院对53例(74条肢体)大隐静脉曲张行TriVex治疗.所有患肢术前均行Doppler超声证实深静脉通畅,腰麻下高位结扎并抽剥大隐静脉主干,对曲张的分支采用TriVex系统进行刨吸. 结果 53例手术均获成功.单条肢体手术时间24～65 min,(38.1±7.2) min;切口数量3～6个,(4.8±0.8)个,住院时间4～15 d,(9.5±2.2) d.术后患肢出现皮下淤血42条,血肿3条,肢体局部麻木感29条,无深静脉血栓形成.49例(68条肢体) 随访2～24个月,(6.0±4.3)月,皮下淤血及血肿消退,肢体局部麻木感消失20条,减轻9条,患肢小腿部无明显手术瘢痕;原有溃疡愈合,色素沉着减轻,沉重感缓解,无静脉曲张复发. 结论 TriVex治疗下肢静脉曲张具有创伤小、美容效果好的特点,但仍有一定的并发症需要防治.
Abstract:
Objective　To evaluate the efficacy of transilluminated powered phlebectomy using the TriVex system in the treatment of varicose great saphenous vein.　M ethods　A total of53 cases (74 legs) of varicose greater saphenous veinwere treated by using the Trivex system fromMarch 2003 to June 2005. PreoperativeDopplerultrasonographywas utilized to clarify the deep vein of lower limbswas unobstructed. Under lumbar anesthesia, sapheno-femoral-junction ligation, stripping of the long saphenous vein, and phlebectomy ofside brancheswere performedwith theTrivex system.　Results　The operationwas performed successfully in all the 53 cases. The operation time per legwas 24~65 min (38. 1±7. 2 min). The number of incisions for phlebectomy was 3~6 (4·8± 0·8). The hospital staywas 4~15 d (9. 5±2. 2 d). Postoperative complications included bruising in 42 legs, hematoma in 3 legs, and local paraesthesia in 29 legs. No deep vein thrombosis occurred. Follow-up checkupswere carried out in 49 cases (68 legs) for 2~24 months (6. 0±4. 3 months). Bruising and hematoma disappeared in all the cases. Local paraesthesia vanished in 20 legs and subsided in 9. No prominent scarwas found in the calf region. The pre-existing ulcers healed up, pigmentation decreased in severity, and heavy feelingwas relieved. No recurrence ofvaricosiswas noted.　Conclusions　Treatmentofvaricose great saphenous veinwith the TriVex system has advantages ofminimal invasion and satisfactory cosmetic effects, though the incidence of some complications cannotbe entirely avoided.

参考文献/References:

[1]马庆久.下肢静脉曲张的治疗现状.第四军医大学吉林军医学院(现吉林医药学院)学报,2005,26(1):4-6.
[2]Shamiyeh A,Schrenk P,Huber E,et al.Transilluminated powered phlebectomy:advantages and disadvantages of a new technique.Dermatol Surg,2003,29(6):616-619.
[3]徐欣,符伟国,杨珏,等.323例曲张静脉微创刨吸术的疗效分析.外科理论与实践,2005,10 (1):77-78.
[4]曹农,侯旭东,张磊,等.微创静脉曲张去除系统治疗大隐静脉曲张(附15例报告).中国微创外科杂志,2003,3(6):518-519.
[5]张岚.下肢静脉曲张硬化剂注射治疗的进展.上海第二医科大学学报,2004,24 (6):490-493.

更新日期/Last Update: 2014-01-27