摘要
为探讨先天性静脉畸形、组织肥大综合征 (KTS)的诊断和治疗原则 ,对 44例KTS患者进行了回顾性研究。所有患者均行下肢顺行静脉造影检查 ,部分行光电容积描记 (PPG)检查。非手术治疗 18例 ,方式为使用弹性绷带或穿弹力袜。手术治疗 2 6例 ,包括单纯浅静脉剥脱术 12例、静脉松解术 5例、静脉和股浅静脉带瓣移植术各为 5例和 4例。手术有效率为 73.1% (19/ 2 6 )。非手术治疗的 18例病情稳定。共有 31例患者获随访 1～ 10年 ,病情均有不同程度改善。作者认为 ,对KTS的处理应持审慎态度 。
To assess the principles of diagnosis and management of Klippel Trenaunay Syndrome (KTS), ascending venography and PPG were used as the means of diagnosis for KTS. 18 cases received nonoperative therapy with elastic bandages or stockings, and 26 patients were operated on, including stripping of varicose vein, decompression of popliteal vein and segmental transplantation with valve to femoral or popliteal vein. The effective rate in the operative group was 73.1% (19/26),whereas the illness of 18 patients was stable with elastic support. Thirty one of 44 patients have been improved during 1～10 year follow up period . It is important that the indications and styles of operation must be carefully considered according to the clinical manifestations and venogram.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2001年第9期672-673,共2页
Medical Journal of Chinese People's Liberation Army
