| 王青山,范 洁,陈 炜,杨舒惠,杜景辰,刘亚男,孟 昕.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[J].,2018,(5):964-967 |
| 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 |
| Subfascial Endoscopic Perforator Vein Surgery Under Ultrasound Positioning Combined with Moist Dressing Technique in Treatment of Venous Ulcer |
| 投稿时间：2017-11-15 修订日期：2017-12-08 |
| DOI：10.13241/j.cnki.pmb.2018.05.037 |
| 中文关键词: 静脉性溃疡 湿性换药 腔镜 |
| 英文关键词: Vanous ulcer Moist dressing technique Endoscope |
| 基金项目:黑龙江省卫生计生委科研基金项目（2017462） |
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| 中文摘要: |
| 摘要 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。 |
| 英文摘要: |
| 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. |
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