下肢股浅静脉瓣膜环缩术治疗原发性深静脉瓣膜功能不全187例效果分析

Clinical efficient of encircling constriction of superficial femoral vein in the treatment of primary deep venous insufficiency on a report of 187 cases

目的评估应用股浅静脉瓣膜环缩术治疗原发性下肢深静脉瓣膜功能不全的效果。方法回顾性总结2004年1月至2011年6月，我院187例（196条肢体）原发性下肢深静脉瓣膜功能不全患者采用股浅静脉第一对瓣膜环缩加曲张浅静脉剥脱术治疗的临床资料。结果176例（183条肢体）术后随访7个月～8年，中位随访时间63．5个月，随访率94．1％（176／187）；临床症状明显缓解，疗效良好160条，占随访肢体87．4％（160／183）；术后出现浅静脉曲张复发4条，占2．2％（4／183）；轻度肿胀17条，占9．3％（17／183）；溃疡复发2条，占8％（2／25）。结论股浅静脉瓣膜环缩术是治疗原发性下肢深静脉瓣膜功能不全的有效方法。

Objective To evaluate the therapeutic effect of encircling constriction of superficial femoral vein in the treatment of primary deep venous insuficiency（PDVI）. Methods From Jan. 2004 to Jun. 2011,187 patients（ 196 lower extremities）with primary deep venous insufficiency were treated with encircling constriction of venous wall at the first pair of superficial femoral venous valve pulse superficial varicose stripping. Results The 183 limbs in 176 patients were followed-up from 7 months to 8 years, with a mean period for 63.5 months. Ninety-four point one percent of the patients were followed up （176/187）. Clinical symptomatic improvement achieved in 87.4% （ 160/183 ） of the lower extremities. There was 2. 2% （4/183） of recurrence of the varicose vein,9. 3% （ 17/183 ） of light edema, 8% （2/25） of recurrence of ulcer. Conclusion Encircling constriction of superficial femoral vein is an effective method in the treatment of primary deep venous valve insufficiency.