下肢静脉曲张术后复发原因分析及再次手术疗效观察

Analysis of Recurrence of Lower Extremity Varicose Veins After Operation and Observation of Reoperation

目的分析下肢静脉曲张术后复发原因及评估再次手术疗效。方法筛选2015年6月—2017年2月该院接收的下肢静脉曲张术后复发患者67例(78条),行超声检查、下肢深静脉造影,待明确复发原因后行再次手术。结果复发原因包括32条深静脉瓣膜功能不全,17条小隐静脉瓣膜功能不全,6条小隐静脉曲张,8条腹股沟区新生血管形成,3条髂静脉受压综合征,3条布加氏综合征,9大隐静脉全段主干或属枝残留;行再次手术后治愈率100%,无1例复发。结论临床对下肢静脉曲张术后复发患者明确病因后,行再次手术治疗,可降低复发率。

Objective To analyze the causes of recurrence after varicose veins and evaluate the effect of reoperation.Methods 67 cases(78 cases) of postoperative recurrence of lower extremity varicose veins received in our hospital from June 2015 to February 2017 were examined by ultrasonography and deep venography of lower extremities.The cause of recurrence was confirmed.Results The causes of relapse include:32 deep venous insufficiency,17 small saphenous vein insufficiency,6 small saphenous varicose veins,8 inguinal area neovascularization,3 iliac vein compression syndrome,3 cloth Plus calyx syndrome,9 major saphenous vein trunk or branch residues;row after surgery,the cure rate was 100%,no recurrence.Conclusion It is possible to reduce the recurrence rate after re-operation of patients with recurrence of postoperative recurrence of lower extremity varicose veins.