股浅静脉瓣膜环缩术治疗轻中度股浅静脉返流的前瞻性研究

摘要

Objective To evaluate the effect of external valvuloplasty of superficial femoral vein valve surgery in treating mild to moderate vein insufficiency.Methods A total of 32 limbs of mild to moderate vein insufficiency in 32 cases were enrolled in this study,lower extremity vein applied with B ultrasound examination and intravenous angiography of deep vein of inferior mem-ber(Kistner2-3)before operation.32 cases were divided into 2 groups(group A and B).In group A,operations on superficial vein and external valvuloplasty of superficial femoral vein valve were applied;in group B,operations only on superficial vein were applied.B ultrasound examination was applied to assess the back flow time;the symptomatic improvement,recurrence and deep ve-nous thrombosis were observed 3 months and 3 years postoperatively.Results There were no statistical difference of superficial femoral vein reflux time before operation.But in 3 months and 3 years after the surgery,reflux time had significant difference between the two groups (P <0.05).Conclusion The curative effect of external valvuloplasty in treating mild to moderate vein insufficiency is accurate,with effectively improving symptomatic and reducing the surgery the re-currence rate.%目的：分析股浅静脉瓣膜环缩术在治疗轻中度股浅静脉瓣膜返流中的疗效。方法32例患者术前彩超均提示股浅静脉返流,下肢静脉逆行造影示 Kistner 分级为2~3级,随机分为 A 组和B 组各16例,A 组行股浅静脉瓣膜环缩+浅静脉手术,B 组行浅静脉手术,术后3个月、3年 B 超检测股浅静脉返流时间,观察患肢症状改善,有无复发及深静脉血栓形成。结果术前 A、B 两组的返流时间差异无统计学意义(P >0.05),术后3个月及3年 A、B 两组的返流时间差异均有统计学意义(P <0.05),A 组的3年复发率及症状改善明显优于 B 组。结论股浅静脉瓣膜环缩术在治疗轻中度股浅静脉瓣膜返流中疗效确切,有效地降低了手术复发率,明显地改善了下肢症状。