小切口治疗单纯下肢大隐静脉曲张（附120例报告）

Clinical significance of mini - incision treatment in simple varicose veins in 120 cases

目的探讨治疗单纯下肢大隐静脉曲张的手术方式．方法回顾性分析本院和同济医院自2000年至2006年共120例单纯下肢大隐静脉曲张的临床资料．120例采用小切口大隐静脉高位接扎、分段抽剥，属支及交通支结扎术。分析该手式操作要点及术后并发症处理的临床意义。结果120例患者术后均顺利康复，随访1～5年，无一例复发。术后22例出现患肢踝关节以下肿胀，全部患肢均有不同程度皮下瘀斑，无患肢深静脉血栓形成和切口感染。结论该术式是单纯下肢静脉曲张的基本治疗方法，属微创手术，易于在基层医院开展。术中快速止血、彻底结扎交通支，术后加压包扎，活动踝关节，早期下床活动，能显著减少术后并发症的发生率。

Objective To explore the operative method in simple varicose vein of lower extremities. Methods The data of 120 cases of simple varicose veins of lower extremities under mini - incision high ligation of great saphenous vein and ligation of perforators from 2000 to 2006 in Nanxiang Hospital and Tongji Hospital were retrospectively studied. Results 120 cases were all cured and left hospital. Followed up 1 year to 5 years, no case recurred. 22 cases appeared swelling blow ankle in operative legs. All patients had sub dermal eechymosis with different degress in operative legs, there was no infection of ineisional wound and deep venous thrombosis. Conclusion Mini - incision high ligation of great saphenous vein and ligation of perforators is a basic operative method for simple varicose veins of lower extremities,which can be applied in basic level hospitals. Close haemostasis, completely ligation, pressure dressing postoperative, ankle acting and early ambulation can reduce postoperative complications significantly.