内镜深筋膜下交通支离断术治疗下肢静脉性溃疡

Subfascial endoscopic perforator surgery on the treatment of chronic venous ulcer of lower limbs

目的探讨内镜深筋膜下交通支离断术治疗下肢静脉性溃疡的效果。方法回顾性分析62例（76条下肢）患者接受内镜深筋膜下交通支离断术的治疗情况。结果所有病例浅静脉曲张消失，皮肤色素沉着显著减退，下肢溃疡3—5周愈合。结论内镜深筋膜下交通支离断术具有住院时间短、创伤小、并发症少、复发率低等优点。具有良好的临床应用价值。

Aim To explore the effects and clinical value of subfascial endoscopic perforator surgery （SEPS） on the treatment of chronic venous ulcer of lower limbs. Methods Retrospective analysis was made of 62 patients （76 legs） with chronic venous ulcer of lower limbs treated by SEPS. Result Superficial vein varicosis disappeared in all cases, skin pigmentation deelinded significantly and ulcer healed in 3 to 5 w. The operative time was between 30 and 45 rain. Hospitalization days were 5 to 7 d. Conclusions SEPS should be the safe and effective method to treat chronic venous ulcer of lower limbs for its advantages include less pain, more rapid recovery, shorter hospitalization ,fewer complications and fewer recurrence rate.