超声定位腔镜深筋膜下交通支离断术联合湿性换药技术治疗下肢静脉性溃疡

目的:探讨彩超定位下的腔镜深筋膜下交通支离断术(SEPS)联合湿性换药技术治疗下肢静脉性溃疡(VU)的方法及效果。方法:回顾性分析了8例VU患者共8条C6级下肢SEPS手术联合湿性换药技术的方法和效果。术前用彩色多普勒超声对功能不全交通支(ICPV)行体表定位,进行SEPS+大隐静脉高位结扎剥脱术+硬化剂注射术,术后湿性换药技术溃疡换药。结果:超声准确定位下SEPS联合湿性换药术后所有C6级患肢VU均在短期内愈合,随访期间无溃疡复发。结论:SEPS联合湿性换药技术治疗VU术后安全,疗效确切,并发症少。

Subfascial Endoscopic Perforator Vein Surgery Under Ultrasound Positioning Combined with Moist Dressing Technique in Treatment of Venous Ulcer

ABSTRACT Objective: To explore the treatment method and effect of subfascial endoscopic perforator vein surgery (SEPS) under ultrasound positioning combined with moist dressing technique for venous ulcer (VU). Methods: Eight C6 grade VU limbs of 8 VU pa- tients treated with SEPS and moist dressing technique were retro-analyzed. Ultrasound positioning was performed prior to the surgery, which included SEPS combined with high ligation and stripping of great saphenous vein and sclerotherapy, and moist dressing technique postoperatively. Results: All the C6 limbs healed well in short period and no recurrence was found during the followup. Conclusion: SEPS combined with moist dressing technique might be an effective treatment for VU, with low complication rate.