摘要
作者对17例(男性12例,女性5例,年龄7~65岁)下肢深静脉血栓形成后综合征患者的诊断、治疗进行讨论,目的是通过手术方法解除股深静脉、大隐静脉、股静脉开口处闭塞状况,并且为其提供流出道。采用的手术方法有3种:(1)大隐静脉一耻骨上交叉转流术。(2)原位大隐静脉转流术。(3)用带外支持环的人造血管搭桥术。结果为诊治17例患者,15例(88.2%)症状明显缓解,2例症状缓解不满意。通过我们的研究提示对下肢深静脉血栓形成后综合征的患者,经正确的诊断,相应的手术方式,精细的操作,术后抗凝,会取得较满意的治疗效果。可进行推广应用于临床。
rom 1989 to 1993,the
authors have treated 17 cases with the postthrombotic syndrome,12males,5 females,age
ranging from 7 to 65 years old. Pive were in the right lower limb,twelve inthe left.One had two
obstructions in a single leg。Diagnosis and treatment of this disease were discussed. By
operation therapy ,the occlusion site indeep femoral vein,saphenous vein or superficial
femoral vein should be relieved and an efferent tractshould be provided。 There were three
kinds of operations:(1)transpubic cross-over saphenous bypass。(2)In site saphenouspoplitcal
vein bypass,(3)Suprasymphysary femoral venular bridge , using vascu-lar prosthesis with
external ring. The results showed that, after five- years following up , the symptomof all 17
cases had significant relief,including excellent result in 15 cases(88.2%),failure in 2cases(11.
8%).Authors concluded that a correct diagnosis , pruper operation, careful manipulationand
postoperative anticoaulant therapy may be important for a favorate result
关键词
转流术
血栓性静脉炎
综合征
postthrombotic syndrome
saphenous vein
bypass