Effect of combined surgical and endovascular approach to lower limb venous ulcer

doi:10.16139/j.1007-9610.2020.04.014

Abstract

Abstract:

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.

Key words: Ulcer, Varicose vein, Surgery, Stent

CLC Number:

R543.6

LI Tao, YANG Jing, YANG Hongwei, LIN Huan, WANG Zuhui, GUO Juanjuan, ZHU Guoxian. Effect of combined surgical and endovascular approach to lower limb venous ulcer[J]. Journal of Surgery Concepts & Practice, 2020, 25(04): 336-340.

Figures/Tables 6

References 17

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病变类型	n	支架置入	主干剥脱	激光闭合	注射硬化剂	合计
单纯静脉曲张	79	0	57	22	79	79
单纯髂静脉受压	5	4	0	0	0	5
静脉曲张合并髂静脉受压	30	19	27	0	27	30
血栓形成后综合征	5	4	0	0	0	5
下腔静脉狭窄	6	3	0	0	0	6
股静脉闭塞	2	0	0	0	0	2
总计	127	30	84	22	106	127

支架型号	髂静脉受压	静脉曲张合并髂静脉受压	血栓形成后综合征	下腔静脉狭窄	合计
WALLSTENT（枚）	3	13	4	3	23
E-LUMINEXX（枚）	2	7	3	0	12
合计（枚）	5(4例)	20(19例)	7(4例)	3(3例)	35(30例)