摘要
本文报道下肢静脉曲张患者行大隐静脉剥脱术后复发125例,共130条肢体。分析其原因是由于:(1)下肢深静脉病变,占63.9%。(2)深—浅静脉之间穿通支瓣膜功能不全,占22.3%。(3)诊断和手术的错误,占13.8%。作者强调术前静脉造影起提高手术疗效的作用。
One handred and twenty-five cases with 130 extremities involved in recur rence of varicose vein following saphenous vein stripping operation between 1960 to 1987 were studied. Through venography the causes of recurrence were found to be: (1) Pathological changes of deep vein of the lower extremities(63.9%) including 59 extremities with post-thrombotic syndrome; 22 with valve incomptence; 2 with congenital malformation. (2) Valve incomptence of the communicating vein (22.3%). (3) Errors in diagnosis and operation (13.8%) . Varicosity of the lower extremity is common in venous diseases. Its exact etiology should be identified by venography before an appropriate operation be carried out. The success of the operation depends upon the opera tor's understanding of the pathological changes in the deep vein and the func tional status of the valves of the communicating veins of the extremities. The author emphasizes the importance of preoperative venography which may affect the outcome of the treatment.
