...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of vascular surgery >Mid-term recurrence rate of incompetent perforating veins after combined superficial vein surgery and subfascial endoscopic perforating vein surgery.
【24h】

Mid-term recurrence rate of incompetent perforating veins after combined superficial vein surgery and subfascial endoscopic perforating vein surgery.

机译：浅表静脉手术和筋膜下内镜下穿孔静脉手术相结合后，不适合的穿孔静脉的中期复发率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: This study investigated the mid-term (mean, 3.7 years) clinical results and the results of duplex Doppler sonographic examinations of subfascial endoscopic perforating vein surgery (SEPS) in patients with mild to severe chronic venous insufficiency (clinical class 2-6) and assessed the factors associated with the recurrence of insufficient perforating veins (IPVs). METHODS: Eighty patients with mild to severe chronic venous insufficiency undergoing SEPS were evaluated, and duplex findings, as well as clinical severity and disability scores before and after the operation, were compared. Patients with prior deep vein thrombosis (<6 months) or prior SEPS were excluded from this study. RESULTS: There were 27 men and 53 women with a median age of 59.8 years (range, 34.3-80.0 years). The distribution of clinical classes (CEAP) was as follows: class 2, 13.1% (12 limbs); class 3, 22.8% (21 limbs); class 4, 19.6% (18 limbs); class 5, 21.7% (20 limbs); and class 6, 22.8% (21 limbs). The etiology of venous insufficiency was primary valvular incompetence in 83 limbs (90.2%) and secondary disease in 9 limbs (9.8%). Concomitant superficial vein surgery was performed in 89 limbs (95.7%). Twenty (95%) leg ulcers healed spontaneously within 12 weeks after operation, whereas one patient required additional split-thickness skin grafting. Eighteen patients had previous surgery of the great and/or short saphenous vein before SEPS. During a mean follow-up of 3.7 years, recurrence of 22 IPVs was observed in 20 (21.7%) of 92 limbs, and recurrent leg ulcers were observed in 2 (9.5%) of 21 limbs. We performed univariate and multivariate analyses to predict factors influencing the recurrence of IPVs (recurrent superficial varicosis, secondary disease, active or healed leg ulcer [C5/6], compression treatment, and previous operation). On multivariate analysis, previous surgery (P = .014) was identified as the only significant factor for the recurrence of IPVs. CONCLUSIONS: SEPS is a safe and highly effective treatment forIPVs. Within a median follow-up period of 3.7 years, only 2 of 21 venous ulcers recurred, both in patients with secondary disease. Nevertheless, we observed recurrence of IPVs in 21.7% of the operated limbs. On multivariate analysis, patients who had undergone previous surgery were found to have a significantly higher rate of recurrence.
机译：背景：本研究调查了轻度至重度慢性静脉功能不全（临床2-6级）患者的中期（平均3.7年）临床结果以及筋膜下内镜穿孔静脉手术（SEPS）的多普勒超声检查结果并评估了与穿孔静脉不足（IPV）复发相关的因素。方法：对80例接受SEPS的轻度至重度慢性静脉功能不全患者进行评估，并比较双工检查结果以及术前和术后的临床严重性和残疾评分。先前有深静脉血栓形成（<6个月）或先前SEPS的患者被排除在本研究之外。结果：男性27例，女性53例，中位年龄为59.8岁（范围34.3-80.0岁）。临床等级（CEAP）的分布如下：等级2，占13.1％（12条肢体）; 3级，22.8％（21肢）; 4级，19.6％（18肢）; 5级，21.7％（20肢）;和6级，占22.8％（21条肢体）。静脉功能不全的病因是83肢（90.2％）的原发性瓣膜功能不全和9肢（9.8％）的继发性疾病。同时进行了89条肢体的浅静脉手术（95.7％）。术后12周内有20例（95％）腿部溃疡自发愈合，而一名患者则需要额外的厚皮皮肤移植术。 18例患者在SEPS之前曾做过大隐静脉和/或短隐静脉手术。在平均3.7年的随访期间，观察到92肢中有20例（21.7％）复发22例IPV，而21肢中有2例（9.5％）复发了腿部溃疡。我们进行了单因素和多因素分析，以预测影响IPV复发的因素（复发性浅表静脉曲张，继发性疾病，下肢活动性或愈合性溃疡[C5 / 6]，压迫治疗和以前的手术）。在多变量分析中，先前的手术（P = .014）被确定为IPV复发的唯一重要因素。结论：SEPS是一种针对IPV的安全有效的治疗方法。在中位随访期3.7年内，继发性疾病患者中21例静脉溃疡中仅2例复发。然而，我们观察到21.7％的手术肢体IPV复发。在多变量分析中，发现以前接受过手术的患者复发率明显更高。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号