原發(fā)性下肢深靜脈瓣膜功能不全手術(shù)方法的選擇-全文預(yù)覽
【正文】 nstriction of venous wall at the first valve of superficial femoral of Group B were treated with the surgical repair outside the inpetent valve of superficial femoral of Group C were treated with the semitendinosusbiceps femoris substitute valve operation outside the popliteal they were also treated with the high ligation and ablation of great saphenous vein,ablation of superficial veins and ligation of perforator veins at the same CEAP classification and clinical scoring were proceeded from two months to six years after operation to evaluate the effect of the The difference between preoperative and postoperative scores of Group A,Group B and Group C were remarkable(Group A,P。結(jié)論 原發(fā)性股淺靜脈瓣膜功能不全的手術(shù)治療，應(yīng)依據(jù)深靜脈瓣膜功能不全的程度決定手術(shù)方式。C組中C2～C6者手術(shù)效果較好。A組行股淺靜脈瓣膜外戴戒術(shù)，B組行股淺靜脈瓣膜外修補(bǔ)術(shù)，C組行靜脈半腱肌股二頭肌肌襻代瓣膜術(shù)，3組均同時(shí)行大隱靜脈高位結(jié)扎剝脫術(shù)加交通支結(jié)扎術(shù)。方法 150例(240條肢體)經(jīng)順行靜脈造影證實(shí)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。B組中C2～C5者手術(shù)效果較好。對(duì)C6者，C組效果較好，但A、B組效果較差。瓣膜外修補(bǔ)術(shù)。encircling constriction of venous wall。共240條肢體，左下肢144條，右下肢96條，均有大隱靜脈曲張，可伴有患肢酸痛、水腫、皮膚色素沉著、脂質(zhì)硬變或靴區(qū)潰瘍等癥狀。 手術(shù)方法 瓣膜外戴戒術(shù) 游離股淺靜脈，在股淺靜脈近側(cè)找出第一對(duì)瓣膜，指壓試驗(yàn)測(cè)試并證明其瓣膜功能不全，同時(shí)測(cè)量該處股淺靜脈周長(zhǎng)。 隨訪 CEAP臨床分級(jí)[5] 比較手術(shù)前后臨床分級(jí)(C0～C6)的變化。C3級(jí)：浮腫。 臨床記分[6] 根據(jù)記錄到的臨床癥狀和體征進(jìn)行記分，每出現(xiàn)一個(gè)癥狀或體征，即累計(jì)1分，分值越高，說(shuō)明病變?cè)絿?yán)重。 統(tǒng)計(jì)學(xué)方法 采用配對(duì)t檢驗(yàn)對(duì)三組及各組間手術(shù)前后隨訪結(jié)果的差異進(jìn)行分析比較
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