摘要
摘要目的探讨大隐静脉曲张患者行高位结扎＋点状剥脱术后发生小腿淋巴漏的原因.方法对１２６例行大隐静脉高位结扎＋点状剥脱术病例进行回顾性分析,探讨并发淋巴漏的原因.结果１２６例患者中共有７例发生小腿淋巴漏(５．６％),其中男性患者３例,女性患者４例.１２６例中有５０例C２,aEpAsPn,其中有１例发生淋巴漏(２％);１０例C３,sEpAsPn中有１例发生淋巴漏(１０％);４０例C４a,sEpAsPn中有３例发生淋巴漏(７．５％);２０例C４b,aEpAsPn中有１例发生淋巴漏(５％);５例C５,aEpAsPn中有１例发生淋巴漏(２０％);C６,sEpAsPn１例,未发生淋巴漏.所有淋巴漏均发生在小腿内侧中下１/３处.结论大隐静脉曲张患者行高位结扎＋点状剥脱术中,在行点状剥脱时,应该避免为了盲目追求小切口、少切口,而在皮下广泛掏空式抽剥,操作应精细,以避免淋巴漏的发生.关键词淋巴漏;大隐静脉曲张;点状剥脱AbstractObjectiveToinvestigatetheetiologyofthepostoperativecalflymphleakageonthepatientswithGreatgreatsaphenousvaricoseveinswhoacceptedthesurgeryofhighligationand＋punctatestrippingoccurredthecalflymphleakage．MethodsAccordingtoaretrospectiveanalysisof１２６patientswithgreatsaphenousvaricoseveinswhoacceptedthesurgeryofhighligationand＋punctatestripping,weanalyzedtheetiologyofthepostoperativelymphleakage．ResultsAtotalof７patientsoccurred１２６casesofsevencasesoccurleglymphaticleakagepostoperativein１２６cases．Therewere４femalepatientsand３malepatientsinthe７patients．TheincidenceoflymphleakageinthepaＧtientofC２,aEpAsPnwas２％(１/５０),TheC２,aEpAsPnin５０cases,１caseshadlymphleakage;C３,sEpAsPn１０cases,１was１０％(１/１０),aEpAsPn５cases,１casesoflymphleakagewas２０％(１/５);C６,sEpAsPn１cases,withouttheoccurrenceoflymphaticleakage．was０％(０/１)．Therewere４Fourcasesfemalepatientsandandthreecasesof３malepatientsinwhichthe７patients．ConclusionsDuringthesurgeryofpatientswithGreatsaphenousveinhighligationand＋punctatestrippingonthepatientswithgreatsaphenousvaricoseveins,inordertoavoidtheoccurrenceoflymphaticleakage,weshouldbecarefuloperatingbutshouldinordertonotavoidtheblindpursuitofsmallinciＧsion,leKsseyinwciosridosn,andwidelystripwidelyinsubcutaneoustunnelingstripping,shouldbecarefuloperation,toavoidtheoccurrenceoflymphaticleakage．LymphaticLymphaticleakage;Varicosisofgreatsaphenousvein;PunctatePunctatestrippingPPathogeny中图分类号R３２２．２文献标识码B文章编号１００８－６３１５(２０１５)１０－０１７３－０１
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
