内镜筋膜下交通静脉结扎治疗慢性下肢静脉性溃疡的临床体会

The clinical experience of subfascial endoscopic perforator surgery in treatment of chronic venous ulcer in lower extremity

目的：探讨内镜筋膜下交通静脉结扎术（subfascial endoscopic perforator surgery，SEPS）治疗慢性下肢静脉性溃疡的临床效果。方法：回顾分析78例，86条下肢慢性静脉性溃疡患者行内镜深筋膜下交通静脉离断＋大隐静脉高位结扎并抽剥术的临床资料。结果：患者术后均恢复良好，浅静脉曲张消失，溃疡愈合，未发生明显并发症，随访1～3年，无皮肤溃疡及浅静脉曲张复发。结论：大隐静脉高位结扎剥脱术＋SEPS治疗下肢静脉性溃疡有效，患者创伤小、康复快，效果好。

Objective：To investigate the clinical effects of subfascial endoscopic perforator surgery （SEPS） in treatment of chronic venous ulcer in lower extremity. Methods：The clinical data of 78 cases （86 limbs） with chronic venous ulcer in lower extremity treated by deep subfascial endoscopic perforating and high ligation plus stripping of great saphenous vein were retrospectively analyzed. Results：All the patients recovered well ＇after operation, varicose veins disappeared, ulcers healed, no obvious complications occurred, and no skin ulcers or recurrent varicose veins were found after follow-up of 1-3 years. Conclusions：SEPS with high ligation plus stripping of great saphenous vein is effective in treating venous ulcers in lower extremity,with less trauma, more rapid recovery and better effect compared with traditional surgical treatment.