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目的探讨内镜深筋膜下穿通静脉离断术(subfascial endoscopic perforator surgery,SEPS)治疗下肢慢性静脉性溃疡的临床疗效。方法回顾性分析2010年7月至2016年7月扬州市第一人民医院采用SEPS治疗的57例(65条肢体)下肢慢性静脉性溃疡患者的临床资料。结果术后随访率为91.2%(52/57),随访3~72个月。术后1~6周溃疡全部愈合,平均愈合时间为4周。所有患者的下肢酸胀、瘙痒、沉重、疼痛等症状均明显改善,足靴区皮肤色素沉着和湿疹均明显减退。结论 SEPS治疗下肢慢性静脉性溃疡安全、有效,且创伤小、并发症少、复发率低、住院时间短,具有较好的临床应用价值。
Objective To investigate the clinical efficacy of subfascial endoscopic perforator surgery (SEPS) for the treatment of chronic venous leg ulcers in lower extremities. Methods The clinical data of 57 patients (65 limbs) with chronic venous ulcer of lower extremity treated with SEPS from July 2010 to July 2016 in Yangzhou First People’s Hospital were retrospectively analyzed. Results The postoperative follow-up rate was 91.2% (52/57), followed up for 3 to 72 months. After 1 to 6 weeks ulcer healed, the average healing time was 4 weeks. All patients had soreness, pruritus, heavy, pain and other symptoms were significantly improved lower limbs, pigskin area pigmentation and eczema were significantly reduced. Conclusion SEPS is safe and effective in the treatment of chronic venous ulcer of the lower extremity. It has less trauma, less complications, low recurrence rate and shorter hospital stay, and has good clinical value.