下肢功能不全穿通静脉的治疗进展

Progress in treatment of incompetent perforating veins of the lower extremities

下肢功能不全穿通静脉(IPV)是下肢静脉性溃疡迁延不愈和下肢静脉曲张术后复发的重要原因之一,是临床上值得探讨的热点问题。笔者简要阐述下肢IPV的发病机制,对开放性穿通静脉离断手术、筋膜下经腔镜穿通静脉离断术(SEPS)和经皮穿通静脉闭合术(PAPS)的手术方式、优缺点做一描述,并提出微创化已成为IPV手术治疗的趋势,期望为临床上治疗IPV提供借鉴。

Incompetent perforating veins(IPV) of the lower limb are known to be an important cause for delayed healing of venous leg ulcers and recurrence of varicose veins after surgery of the lower limb. The treatment of IPV is a major issue in clinical practice. In this article, the authors briefly describe the pathogenesis of IPV, address the procedures as well as the pros and cons of the open division of perforating veins, subfascial endoscopic ligation of perforating veins(SEPS) and percutaneous ablation of perforating veins(PAPS), and indicate that minimally invasive techniques are becoming prevalent in the treatments of IPV. The authors intend to provide reference for the treatments of IPV in clinical practice.