CAJ | 학술논문

目的探讨下肢浅静脉剥脱术对合并深、浅静脉反流的静脉曲张的疗效.方法 2004年1月至2006年12月选取合并深浅静脉反流患者20例共22条下肢,以单纯浅静脉反流患者22例共27条下肢为对照,采用传统静脉剥脱手术方法治疗.以静脉临床严重程度评分(venous clinical severity score,VCSS)临床评分体系以及彩色多普勒超声检查观察二组术前以及术后2年临床症状改善以及深静脉反流程度的变化.结果深浅静脉反流组和单纯浅静脉反流组术前VCSS分别为(7.1±2.9)分和(6.6±2.0)分,差异无统计学意义(P=0.44).术后两组VCSS分别为(2.3±1.2)分和(1.8±0.8)分,差异无统计学意义(P=0.13).随访两年各组手术前后VCSS评分差异均有统计学意义(P<0.01),2年后超声检查深浅静脉反流组中深静脉反流程度无改变肢体11条,改善7条,加重4条,单纯浅静脉反流组4个肢体出现深静脉反流.结论浅静脉剥脱术可改善合并深静脉反流患者的临床症状,对深静脉反流总体无影响.
목적 탐토하지천정맥박탈술대합병심、천정맥반류적정맥곡장적료효.방법 2004년1월지2006년12월선취합병심천정맥반류환자20례공22조하지,이단순천정맥반류환자22례공27조하지위대조,채용전통정맥박탈수술방법치료.이정맥림상엄중정도평분(venous clinical severity score,VCSS)림상평분체계이급채색다보륵초성검사관찰이조술전이급술후2년림상증상개선이급심정맥반류정도적변화.결과 심천정맥반류조화단순천정맥반류조술전VCSS분별위(7.1±2.9)분화(6.6±2.0)분,차이무통계학의의(P=0.44).술후량조VCSS분별위(2.3±1.2)분화(1.8±0.8)분,차이무통계학의의(P=0.13).수방량년각조수술전후VCSS평분차이균유통계학의의(P<0.01),2년후초성검사심천정맥반류조중심정맥반류정도무개변지체11조,개선7조,가중4조,단순천정맥반류조4개지체출현심정맥반류.결론 천정맥박탈술가개선합병심정맥반류환자적림상증상,대심정맥반류총체무영향.
Objective To examine outcomes of superficial vein stripping for vein varicosis caused by combination of superficial and deep venous reflux and the effect on deep vein reflux. Methods From January 2004 to December 2006, twenty patients (22 lower extremities) with combined superficial and deep venous reflux were enrolled for evaluation, patients with superficial venous reflux alone worked as controls.All patients underwent superficial vein stripping and followed up for 2 years. Venous clinic severity score (VCSS) and color duplex ultrasound test were used to evaluate the change of clinic symptoms and valve reflux of deep veins. Results Preoperative VCSS of superficial and deep vein reflux group and superficial vein reflux group was 7.1 ± 2. 9 and 6. 6 ± 2. 0 respectively (P = 0. 44). At two years after operation the VCSS was 2. 3 ± 1.2 and 1.8 ± 0. 8 respectively without significant statistic differences, whereas comparing postoperative VCSS with individual preoperative parameters there was a significant decrease (P <0. 01). In combined superficial and deep vein group, deep venous reflux reduced in 7 limbs, progressed in 4 limbs, no change in 12 limbs. While in superficial reflux alone group, deep venous reflux occurred in 4 limbs.Conclusions Superficial vein stripping effectively improves symptoms of great saphenous vein varicosis of lower extremity caused by combination of superficial and deep vein reflux without a significant effect on the stares of deep vein reflux.