下肢深静脉腔内瓣膜成形术治疗瓣膜功能不全20例报告

Report of internal valvuloplasty for femoral vein and popliteal vein valve insufficiency of lower extremities 20 cases

目的:研究下肢深静脉腔内瓣膜成形术的临床应用价值。方法:选择经过静脉造影或彩色多普勒检查确诊为原发性下肢静脉瓣膜功能不全的20条患肢行静脉瓣膜腔内成形术。结果:20条患肢随访5～7年,疗效优良。18例经彩色多普勒检查,均无返流。2例患肢色素加深,经彩色多普勒检查轻度返流,局部浅静脉曲张复发2例。结论:下肢深静脉腔内瓣膜成形术疗效确切,但有一定的并发症。

Objective: To study the effectiveness of external valvuloplasty of superficial femoral vein in the treatment of deep vein reflux of the lower extremities. Methods: Thirty-seven cases of deep vein reflux of the lower extremities diagnosed by color duplex and venography were treated with external valvuloplasty. Results: Post operative results were satisfactory after a mean follow ,up period of 6 months-2 years. Conclusion: Extenal valvuloplasty of deep vein valve is the first choice for treating deep vein valve insufficiency in the lower limbs.