内镜下静脉交通支断离术的临床应用

Clinical application of devascularization of venous traffic branches by endoscope.

目的 讨论电视内镜下静脉交通支离断术的方法、优越性 ,并对随访时间在 2年以上的病例进行总结。方法 对 2 3例下肢深静脉瓣膜功能不全伴发溃疡病人施行内镜下静脉交通支离断术 ,对术后溃疡愈合情况进行 2年以上随访。结果 2 3例病人平均随访 2 9个月 ,2 1例溃疡在术后 44 0天内愈合。 1例病人术后切口感染。结论 内镜下静脉交通支离断术初步治疗效果满意、术后并发症少 ,具有一定的临床应用价值。

Objective To discuss the technique,advantages and follow-up results of subfascial endoscopic perforator surgery.Methods Subfascial Endoscopic Perforator Surgery was performed for 23 patients wth chronic venous insufficiency.Over two years postoperative follow-up was done.Results 21 in 23 cases with ulcers healed.Only one case had wound infection.Conclusion Subfascial Endoscopic Perforator Surgery is a safe and effective procedure in treating venous insufficiency.