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首页> 外文期刊>Seminars in cutaneous medicine and surgery. >Subfascial endoscopic perforator vein surgery.
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Subfascial endoscopic perforator vein surgery.

机译：筋膜内镜下穿支静脉手术。

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Chronic venous insufficiency is a tremendous health care problem in western societies. Venous disease can affect any combination of the superficial, deep, and perforator venous systems of the lower extremities. Generally the superficial venous deficits are addressed through sclerotherapy, enovenous ablation, stab phlebectomy, and or stripping. Patients with advanced clinical sequelae (lipodermatosclerosis or ulceration) of CVI should also be evaluated for the presence of incompetent perforating veins. Open surgical approached to the calf perforating veins (ie. Linton procedure) were complicated by significant wound complications and have largely been replaced by the less invasive Subfascial Endoscopic Perforator Surgery (SEPS). The use of SEPS in patients with ulceration has been shown to be safe and to reduce the time that patients will have ulcers during follow-up. This chapter will review the pathophysiology, diagnosis, and treatment of incompetent perforating veins of the legs with particular attention to surgical issues.
机译：在西方社会，慢性静脉功能不全是一个巨大的卫生保健问题。静脉疾病可影响下肢的浅部，深部和穿支静脉系统的任何组合。通常，浅表静脉缺损通过硬化疗法，静脉消融，刺静脉摘除术和/或剥离来解决。患有CVI的临床后遗症（脂肪性皮肤硬化症或溃疡性溃疡）的患者也应评估是否存在不适合的穿孔静脉。开放手术接近小腿穿孔静脉（即，Linton手术）由于明显的伤口并发症而变得复杂，并且已被侵入性较小的筋膜下内窥镜穿孔手术（SEPS）所取代。已经证明在溃疡患者中使用SEPS是安全的，并且可以减少患者在随访期间发生溃疡的时间。本章将回顾腿部功能不全的静脉的病理生理学，诊断和治疗，尤其要注意外科手术问题。

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