CAJ | 학술논문

目的总结以TriVex旋切术为中心、配以抗炎对症三阶段疗法治疗下肢静脉性溃疡的临床疗效以及其优势性分析.方法回顾性分析2005年10月至2013年7月重庆医科大学附属第一医院收治的86例(102条患肢)静脉性溃疡患者,以及经三阶段疗法治疗的相关临床资料.结果 86例患者术后均未出现急性蜂窝织炎、皮肤溃烂坏死及下肢深静脉血栓并发症,出现皮下淤血2例、皮下血肿1例、皮肤感觉异常1例、皮下硬结1例;86例患者均获得随访,随访时间4～ 48个月,平均随访(15±12)个月.溃疡均在术后1个月内结痂愈合,同时皮肤病变也在随访时发现明显好转,随访期间未出现溃疡复发.结论以TriVex旋切术为中心,配以抗炎对症三阶段疗法的综合治疗方案对下肢静脉性溃疡有较好的疗效,可降低术后出现急性蜂窝织炎、皮肤溃烂坏死的并发症,缩短溃疡愈合时间,减少复发.
목적 총결이TriVex선절술위중심、배이항염대증삼계단요법치료하지정맥성궤양적림상료효이급기우세성분석.방법 회고성분석2005년10월지2013년7월중경의과대학부속제일의원수치적86례(102조환지)정맥성궤양환자,이급경삼계단요법치료적상관림상자료.결과 86례환자술후균미출현급성봉와직염、피부궤란배사급하지심정맥혈전병발증,출현피하어혈2례、피하혈종1례、피부감각이상1례、피하경결1례;86례환자균획득수방,수방시간4～ 48개월,평균수방(15±12)개월.궤양균재술후1개월내결가유합,동시피부병변야재수방시발현명현호전,수방기간미출현궤양복발.결론 이TriVex선절술위중심,배이항염대증삼계단요법적종합치료방안대하지정맥성궤양유교호적료효,가강저술후출현급성봉와직염、피부궤란배사적병발증,축단궤양유합시간,감소복발.
Objective To evaluate TriVex based transilluminated powered phlebectomy (TIPP)three-stage management for lower limb venous ulcers.Methods This retrospective study included 86 patients with 103 diseased limbs treated in our hospital from October 2005 to July 2013.All received TriVex TIPP three-stage management.Results After therapy there was no acute cellulitis,skin necrosis nor lower limb deep venous thrombosis.There were 2 cases of subcutaneous ecchymosis,1 case of subcutaneous hematoma,1 case of skin abnormal sensation and 1 case of subcutaneous induration.Ulcers healed within one month postoperation in all cases,while skin abnomalities were alleviated with no ulcer recurrence during the follow-up ranging from 4 to 48 months.Conclusions TriVex TIPP centered threestage management is a good option for lower limb venous ulcer,with shortened healing time,low recurrence rate.