下肢深静脉瓣膜功能不全的瓣膜外修复成形术

External valvuloplasty for deep venous valve insufficiency of legs

目的研究和评价利用瓣膜外修复成形术治疗下肢深静脉瓣膜功能不全的疗效。方法对下肢深静脉瓣膜功能不全的２６例患者（３７条肢体）施以股静脉瓣膜外修复成形术。其中男１２例，女１４例；年龄１６～６９岁，平均年龄（５０８±１００）岁。所有肢体均施行股浅静脉第一对瓣膜外修复成形术，其中７条肢体加施股浅静脉第二对瓣膜外修复成形术，６条肢体加施股总静脉外瓣膜修复成形术。结果８１１％（３０／３７）的患肢静脉性跛行、酸胀、疼痛等症状消失，１８９％（７／３７）的患肢症状明显改善，所有肢体静脉曲张消失，７／９的肢体溃疡愈合。彩超复查除有４条肢体瓣膜功能不全Ⅰ～Ⅱ度外，其余肢体（８９２％）瓣膜功能恢复正常。

Objective To study and evaluate the therapeutic effects of external valvuloplasty for deep venous valve insufficiency of the legs. Methods External valvuloplasty of the femoral vein valve was performed in 26 patients(37 legs) with deep venous valve insufficiency of the legs. Among them, 12 were male and 14 were female. These patients ranged in age from 16 to 69 years ( ±s , 50 8±10 0). External valvuloplasty of the first pair of the superficial femoral vein valve was carried out in all the legs. External valvuloplasty of the second pair of the superficial femoral vein valve was added in 7 legs and valvuloplasty of the common femoral vein valve in 6 legs. Results Venous claudication, swelling, aching disappeared in 81 1% patients (30/37), obviously improved in 18 9% (7/37) and varicose veins disappeared in all legs. Ulcer healing was seen in 7/9 patients.Deep venous valve sufficiency was demonstrated in 89 2% patients (33/37),and reflux Ⅰ°～Ⅱ° in 4 legs by color Doppler. Conclusions External valvuloplasty is effective in treating deep venous valve insufficiency of the legs.