CAJ | 학술논문

目的探讨腔镜深筋膜下交通支离断术联合静脉腔内激光治疗下肢静脉曲张性溃疡的临床应用价值.方法选择下肢静脉曲性溃疡患者32例(34条患肢),使用腔镜行深筋膜下交通支离断术,并且静脉腔内激光治疗大隐静脉主干及小腿曲张静脉支.结果所有患肢曲张静脉支消失,下肢酸胀沉重感明显减轻,小腿溃疡于手术后2～8周内愈合.所有患者随访1～5年,无浅静脉曲张形成及溃疡复发.结论腔镜深筋膜下交通支离断术联合静脉腔内激光治疗下肢静脉曲张性溃疡的方法,操作简单,创伤小,恢复快,值得推广应用.
목적 탐토강경심근막하교통지리단술연합정맥강내격광치료하지정맥곡장성궤양적림상응용개치.방법 선택하지정맥곡성궤양환자32례(34조환지),사용강경행심근막하교통지리단술,병차정맥강내격광치료대은정맥주간급소퇴곡장정맥지.결과 소유환지곡장정맥지소실,하지산창침중감명현감경,소퇴궤양우수술후2～8주내유합.소유환자수방1～5년,무천정맥곡장형성급궤양복발.결론 강경심근막하교통지리단술연합정맥강내격광치료하지정맥곡장성궤양적방법,조작간단,창상소,회복쾌,치득추엄응용.
Objective To investigate the clinical value of the subfascial endoscopic perforator surgery (SEPS) combined the endovenous laser on venous ulcer in lower extremities.Methods Subfascial endoscopic perforator surgery was applied to 32 patients (34 limbs) of varicose veins with venous ulcers,aided by endovenous laser treatment of great saphenous veins and varicose veins.Results All branch limb varicose veins disappear,leg heaviness significantly reduce soreness,leg ulcers were healed up in 2 to 8 weeks after surgery.All patients were followed for 1 year to 5 years,no recurrence of varicose veins and ulcers formed.Conclusion The method of endoscopic perforator surgery combined the endovenous laser for venous ulcer in lower extremities is simple operation,small trauma,quicker recovery,should be widely applied.