目的 探讨应用小切口点状抽剥加高位结扎术治疗下肢浅静脉曲张的疗效。方法 选择我院2006～2010年期间经静脉造影确诊为下肢浅静脉曲张患者146例（共153条患肢），采用小切口点状抽剥小腿部曲张浅静脉（包括小隐静脉及交通静脉结扎），加大隐静脉高位结扎、分段抽剥术式治疗。结果 本组手术顺利，手术时间30～50min （平均38min），住院时间3～5d （平均3.5d）。术后随访121例，随访6个月～3年（平均1.6年），除1例术后复发外，其余疗效满意，无手术并发症发生。结论 小切口点状抽剥加高位结扎术治疗下肢浅静脉曲张具有操作方法简单、手术时间短、创伤痛苦小、术后恢复快、复发率低、术后美观等优点，在基层医院值得推广应用。
Objective To evaluate improved effect for deep venous valve function after superficial vein surgery of lower extremity in the intermediate stage. Methods Totally 43 patients (55 limbs) with varicose veins of lower extremity were enrolled to accept surgical management of vein systems in our department from March 2006 to October 2006. All patients were respectively followed up after 6 months and 4 years about the changes of deep venous valve function with color Doppler ultrasonography. Results Thirty-nine patients’ deep venous valve function kept well up to now, and there was no significant difference between the two results. Four patients without proximal saphenous vein ligation recurred, and there was reflux in deep venous. Conclusion Endovenous laser treatment and ablation of varicose veins of lower extremity with deep venous insufficiency could improve deep venous valve function effectively. Proximal great saphenous vein ligation is important for successful operation.