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原發(fā)性下肢深靜脈瓣膜功能不全手術方法的選擇(完整版)

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【正文】 脈瓣膜功能不全,且均有倒流。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 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 an
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