原發(fā)性下肢深靜脈瓣膜功能不全手術方法的選擇(已修改)
2025-01-27 01:36 本頁面
【正文】 KKME專業(yè)醫(yī)學搜索引擎原發(fā)性下肢深靜脈瓣膜功能不全手術方法的選擇 作者：陳輝，張方，王天佑，陳學明，許曉航，陳福森 【摘要】 目的 觀察不同手術方法治療原發(fā)性下肢深靜脈瓣膜功能不全的療效。方法 150例(240條肢體)經(jīng)順行靜脈造影證實為原發(fā)性下肢深靜脈瓣膜功能不全的患者分為A、B、C 3組，每組80條患肢。A組行股淺靜脈瓣膜外戴戒術，B組行股淺靜脈瓣膜外修補術，C組行靜脈半腱肌股二頭肌肌襻代瓣膜術，3組均同時行大隱靜脈高位結扎剝脫術加交通支結扎術。以CEAP臨床分級與臨床記分評價療效。結果 3組術后臨床記分呈不同程度下降：A組中C2～C4者手術效果較好。B組中C2～C5者手術效果較好。C組中C2～C6者手術效果較好。A、B、C 3組手術效果比較，對C2～C4者，3組無明顯差異。對C5者，B、C組無明顯差異，但A組效果較差。對C6者，C組效果較好，但A、B組效果較差。結論 原發(fā)性股淺靜脈瓣膜功能不全的手術治療，應依據(jù)深靜脈瓣膜功能不全的程度決定手術方式。 【關鍵詞】 原發(fā)性股淺靜脈瓣膜功能不全。瓣膜外戴戒術。瓣膜外修補術。靜脈半腱肌股二頭肌肌襻代瓣膜術 The selection for operation method in treatment of primary deep venous insufficiency CHEN Hui,ZHANG Fang,WANG TianYou,et of Cardiovascular Thoracic Surgery,The First Hospital,Fangshan District,Beijing 102400,China 【Abstract】 Objective To observe the therapeutic effect of different operation methods in the treatment of primary deep venous insufficiency (PDVI).Methods Two hundred and forty lower limbs in one hundred and fifty patients who were proved to be PDVI by ascending venography were divided into Group A(80 limbs),Group B(80 limbs) and Group C(80 limbs).Patients of Group A were treated with the encircling constriction of venous wall at the first valve of superficial femoral of Group B were treated with the surgical repair outside the inpe
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