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[Effect of external vavuloplasty of deep vein in the treatment of chronic venous insufficiency of lower extremity].
Zhonghua Wai Ke Za Zhi. 2005 Jul 01; 43(13):853-6.ZW

Abstract

OBJECTIVE

To verify the role and effect of external vavuloplasty in the treatment of chronic venous insufficiency (CVI) of lower extremity.

METHODS

Thirty patients with CVI of bilateral lower extremities were enrolled to accept surgical management of vein systems. Both limbs of each patient were randomized into two groups respectively according to the operating style. One limb was given external vavuloplasty of the superficial femoral vein and surgery of superficial venous system (group A), the another limb was only given the surgery of superficial venous system (group B). The effect comparison between both limbs of each patient and two groups by color duplex scanning, color doppler velocity profile (CDVP), air plethysmography and CEAP score system one month and 3 years after operation.

RESULTS

All 60 limbs of 30 cases were CEAP C(2)-C(4) with degree III reflux (Kistner's method) in the deep veins confirmed by color duplex scanning and venography. In 1 month and 3 years after surgery, all the indexes of the limb in the group A were dramatically improved compared with those of the limbs in the group B. The average value of venous reflux degree, reflux volume, and venous filling index (VFI) had significant difference between the two groups (P < 0.001). In 3 years after surgery, there was significant difference between the two groups on ejective fraction (EF)and residual volume fraction (RVF) (P < 0.05) and CEAP clinical score (P < 0.001).

CONCLUSION

External vavuloplasty of deep vein may reduce the reflux volume of the affected deep vein and improve the valve function, and can result in better outcomes when combined with surgery of the superficial venous system.

Authors+Show Affiliations

Department of Vascular Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China. shenmingwang@sohu.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

16083602

Citation

Wang, Shen-ming, et al. "[Effect of External Vavuloplasty of Deep Vein in the Treatment of Chronic Venous Insufficiency of Lower Extremity]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 43, no. 13, 2005, pp. 853-6.
Wang SM, Hu ZJ, Li SQ, et al. [Effect of external vavuloplasty of deep vein in the treatment of chronic venous insufficiency of lower extremity]. Zhonghua Wai Ke Za Zhi. 2005;43(13):853-6.
Wang, S. M., Hu, Z. J., Li, S. Q., Huang, X. L., & Ye, C. S. (2005). [Effect of external vavuloplasty of deep vein in the treatment of chronic venous insufficiency of lower extremity]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 43(13), 853-6.
Wang SM, et al. [Effect of External Vavuloplasty of Deep Vein in the Treatment of Chronic Venous Insufficiency of Lower Extremity]. Zhonghua Wai Ke Za Zhi. 2005 Jul 1;43(13):853-6. PubMed PMID: 16083602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of external vavuloplasty of deep vein in the treatment of chronic venous insufficiency of lower extremity]. AU - Wang,Shen-ming, AU - Hu,Zuo-jun, AU - Li,Song-qi, AU - Huang,Xue-ling, AU - Ye,Cai-sheng, PY - 2005/8/9/pubmed PY - 2006/12/15/medline PY - 2005/8/9/entrez SP - 853 EP - 6 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 43 IS - 13 N2 - OBJECTIVE: To verify the role and effect of external vavuloplasty in the treatment of chronic venous insufficiency (CVI) of lower extremity. METHODS: Thirty patients with CVI of bilateral lower extremities were enrolled to accept surgical management of vein systems. Both limbs of each patient were randomized into two groups respectively according to the operating style. One limb was given external vavuloplasty of the superficial femoral vein and surgery of superficial venous system (group A), the another limb was only given the surgery of superficial venous system (group B). The effect comparison between both limbs of each patient and two groups by color duplex scanning, color doppler velocity profile (CDVP), air plethysmography and CEAP score system one month and 3 years after operation. RESULTS: All 60 limbs of 30 cases were CEAP C(2)-C(4) with degree III reflux (Kistner's method) in the deep veins confirmed by color duplex scanning and venography. In 1 month and 3 years after surgery, all the indexes of the limb in the group A were dramatically improved compared with those of the limbs in the group B. The average value of venous reflux degree, reflux volume, and venous filling index (VFI) had significant difference between the two groups (P < 0.001). In 3 years after surgery, there was significant difference between the two groups on ejective fraction (EF)and residual volume fraction (RVF) (P < 0.05) and CEAP clinical score (P < 0.001). CONCLUSION: External vavuloplasty of deep vein may reduce the reflux volume of the affected deep vein and improve the valve function, and can result in better outcomes when combined with surgery of the superficial venous system. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/16083602/[Effect_of_external_vavuloplasty_of_deep_vein_in_the_treatment_of_chronic_venous_insufficiency_of_lower_extremity]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=0529-5815&amp;year=2005&amp;vol=43&amp;issue=13&amp;fpage=853 DB - PRIME DP - Unbound Medicine ER -