摘要
为探讨下肢静脉曲线术后复发的原因及静脉造影的临床意义，作者分析了１８０例（２０６侧肢体）下肢静脉曲张术后复发病例的静脉造影表现。引起静脉曲张的病因以深静脉瓣膜关闭功能不全最多（５２．９％），其次为静脉血栓形成后遗症（１８．９％）。分析造成静脉曲张术后复发的原因有：（１）术前未明确病因而盲目施行单纯的浅静脉手术；（２）术中大隐静脉结扎、剥脱不彻底，遗漏同时存在的曲张小隐静脉或交通支结扎不完全；（３）深静脉瓣膜修复术失败。认为下肢静脉造影对明确病因、选择合适的治疗方法及防止和减少术后复发都具有重要的临床意义。
e analysed venograms of recurrent varicose veinsin
180 cases (206 lower limbs). Deep vein valvular in-sufficiency resulted in varicose veins in 52.
9% cases,and post-thrombotic syndrome in 18. 9 %. The causes ofpostoperative recurrent
varicose veins varied; blindlyperformed single superficial veins operation , low ligationof the
long saphenous trunk, incomplete stripping ofvaricose veins, missing of the short varicose
saphena orincomplete ligation of the perforating veins and failure ofdeep vein valvular repairs.
Venography is of value inmaking correct diagnosis and choosing appropriate oper-atlons.
出处
《中华医学杂志》
CAS
CSCD
北大核心
1995年第6期349-351,共3页
National Medical Journal of China
