大隐静脉曲张术后小腿淋巴漏７例报告.docVIP

精品论文 参考文献 大隐静脉曲张术后小腿淋巴漏７例报告 涂友明　邓小斌　熊建国　方汉初 　　湖北省孝昌县第一人民医院普外科　湖北　孝昌　４３２９００ 　　【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【Abstract】　ObjectiveToinvestigatetheetiologyofthepostoperativecalflymphleakageonthepatientswithGreatgreatsaphenousvaricoseveinswhoacceptedthesurgeryofhighligationand＋ 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,l【eKsseyinwciosridosn】,andwidelystripwidelyinsubcutaneoustunnelingstripping,shouldbecarefuloperation,toavoidtheoccurrenceoflymphaticleakage． 　LymphaticLymphaticleakage;　Varicosisofgreatsaphenousvein;　PunctatePunctatestrippingP　Pathogeny 【中图分类号】R３２２．２ 【文献标识码】B 　　【文章编号】１００８－６３１５(２０１５)１０－０１７３－０１　　 　　大隐静脉曲张是普外科常见、多发病,在我国,其发病率约为１５．５４％[１],居血管疾