目的：探讨外科手术联合血管腔内技术治疗下肢静脉性溃疡的临床疗效。方法：回顾分析深圳大学第一附属医院（深圳市第二人民医院）血管外科2016年1月至2019年12月下肢静脉性溃疡病人,探讨外科手术联合腔内技术治疗溃疡的临床疗效。结果：127例下肢溃疡病人,大隐静脉主干激光闭合22例、主干剥脱84例;支架置入30例,共35枚。除1例溃疡尚未愈合,其余病人经外科手术联合腔内治疗后均康复出院,随访无溃疡复发。结论：外科手术联合腔内技术有利于缩短下肢静脉性溃疡愈合时间。

Objective To investigate the clinical effect of combined surgical and endovascular approach in treatment of lower limb venous ulcer. Methods Patients with lower limb venous ulcer in the First Affiliated Hospital of Shenzhen University(Shenzhen Second People's Hospital) from January 2016 to December 2019 were retrospectively analyzed, and the clinical efficacy of combined surgical and endovascular approach was explored. Results A total of 127 patients with lower limb ulcer were enrolled including 22 cases with laser therapy for greater saphenous vein, 84 cases with stripping therapy and 30 cases (35 stents) with implantation of stent. The patients recovered using combined surgical and endovascular approach, and all but one patient discharged from hospital. One patient was without heal of ulcer. There was no ulcer recurrence shown by follow-up. Conclusions Treatment with combined surgical and endovascular approach could shorten the healing time of lower limb venous ulcer.