股浅静脉第一对瓣膜包窄术治疗原发性下肢深静脉瓣膜功能不全

Treatment of primary deep venous valve insufficiency in lower limb by venous external valvuloplasty on the first valve of superficial femoral vein

目的 评估应用股浅静脉第一对瓣膜包窄术治疗原发性下肢深静脉瓣膜功能不全的疗效。方法 对原发性下肢深静脉瓣膜功能不全的 5 5例患者施以股浅静脉第一对瓣膜包窄术 ,包窄材料选用聚四氟乙烯人造血管。结果 本组病人术后均随访 4～ 14个月 ,术前临床症状缓解 ,疗效好。结论 股浅静脉第一对瓣膜包窄术治疗瓣膜轻、中度倒流的原发性下肢深静脉瓣膜功能不全 ,有坚实的理论基础 ,并有并发症少 ,操作简单 ,疗效好等优点 ,值得推广。

Objective To evaluate the results of treatment of primary deep venous insufficiency in lower limbs.Methods 55 patients were treated by venous external valvuloplasty on the first valve of superficial femoral vein with PTFE.Results All of the patients were followed up for 4 to 14 months after operation. The results of treatment were very good.Conclusions Primary deep venous valve insufficiency with mild to moderate venous reflux was treated by venous external valvuloplasty on the first valve of superficial femoral vein. It has advantages of few complications and simple operative technique with good results.