原发性下肢静脉曲张伴血栓性浅静脉炎的早期手术治疗

Early surgical treatment for primary lower extremity varicose veins complicated by superficial thrombophlebitis

目的探讨原发性下肢静脉曲张并血栓性浅静脉炎早期手术治疗的效果。方法回顾性分析4年间治疗原发性下肢静脉曲张并发血栓性浅静脉炎42例的临床资料,并进行CEAP分级诊断。早期在行高位结扎剥脱、取出曲张静脉和血栓后,予抗炎、抗凝治疗。结果全组均治愈。术后皮肤硬结伴浮肿3例,足靴区麻木3例。术中及术后未见深静脉血栓及肺动脉栓塞等严重并发症。经随访2个月至4年,无复发。结论早期对原发性下肢静脉曲张并血栓性浅静脉炎行手术治疗,不但可取得较好效果,也可较早地控制由浅静脉血栓蔓延所形成的深静脉血栓和肺动脉栓塞等严重并发症。

Objective To evaluate the effect of early surgical treatment for primary lower limb varicose veins complicated by thrombophlebitis.Methods The clinical date of 42 patients with primary lower extremity varicose veins complicated by thrombophlebitis treated in 4 years were analyzed retrospectively.The CEAP classification was adopted to establish the diagnoses of the all patieats.In the early stage,high ligation and stripping of the varicase veins were performed.After removal of varicose veins and thrombi,both anti-inflammation therapy and anticoagulant therapy were applied.Results All patients made a good recovery.After surgery,3 patients had skin callous and swelling,and 3 patients had foot nerve paresthesia.But,no serious complications,such as deep venous thrombosis or pulmonary embolism,were observed.The was no recurrence during 2 months to 4 years follow-up.Conclusions Early surgical treatment for primary lower limb varicose veins complicated by superficial thrombophlebitis not only has good results but also helps control of deep venous thrombosis and pulmonary embolism,and other serious complications that can result from superficial venous thrombosis.