Assessment and Curative Effect of Percutem Transilluminated with Negative Pressured on The Potaried Technique on Treatment of Venous Ulcer in Lower Extremity_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Yong ¹ , YANG Guokai ¹ , HE Xiaoming ¹ , LU Ping ¹ , XU Xiong ² , MA Zhenhuan ¹ , QIAN Tengfei ² , LI Guojian ¹ , WAN Jia ¹ , YANG Guang ¹

1.Department of Vascular Surgery， The Fourth Affiliated Hospital of Kunming Medical College (The Second People’s Hospital of Yunnan Province) &;
Yunnan Provincial Center of Vascular Surgery, Kunming 650021, China;;
2.Honghe Affiliated Center of Yunnan Provincial Center of Vascular Surgery, Mengzi 661100, Yunnan Province, China;

Corresponding author：

Keywords：

Lower limb; Vein; Ulcer; Percutem transilluminated with negative pressured on the potaried technique; Treatment; Curative effect

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To assess the curative effect of percutem transilluminated with negative pressured on the potaried technique on the treatment of venous ulcer in lower extremity. Methods The clinical date of 300 cases involving 300 legs with venous ulcer in lower extremity， who underwent the percutum transilluminated negative pressured potaried technique using TRIVEXTM Ⅱ potaried system or the percutum transfixion surgical treatment from October 2005 to June 2009, were analyzed. Three hundred cases were randomly divided into potaried group and transfixion group. In potaried group, there were 190 cases involving 190 legs treated with TRIVEXTM Ⅱ potaried system. In transfixion group, 110 cases involving 110 legs treated with percutum transfixion. The clinical indexes of skin infection rate and skin necrosis rate, shrinkage rate of wound area and skin depigmentation rate, ulcer healing rate and ulcer recurrence rate were calculated to assess the clinical curative effect on day 5, day 20, day 120 and day 360 after operation respectively. Results The rates of skin infection and skin necrosis were significantly decreased in potaried group compared with transfixion group on day 5 after operation (P＜0.05), the rates of shrinkage of wound area and skin depigmentation were significantly increased in potaried group compared with transfixion group on day 20 (P＜0.05). The ulcer healing rate was not significantly different between the two groups on day 120 (P gt;0.05). Ulcer recurrence rate was remarkably lower in potaried group than that in transfixion group on day 360 (P＜0.05). Conclusion It can be concluded that　percutem transilluminated with negatived pressured on the potaried technique with TRIVEXTM Ⅱ potaried system can efficiently promote the　healing of venous ulcer in the lower extremity, and at the same time it has an ascendancy in lessening skin infection and skin reinjury.

Citation： YANG Yong,YANG Guokai,HE Xiaoming,LU Ping,XU Xiong,MA Zhenhuan,QIAN Tengfei,LI Guojian,WAN Jia,YANG Guang. Assessment and Curative Effect of Percutem Transilluminated with Negative Pressured on The Potaried Technique on Treatment of Venous Ulcer in Lower Extremity. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(12): 996-999. doi: Copy

1.	张培华主编. 临床血管外科学 [M]. 北京: 科学出版社, 2003： 448-449.
2.	陈翠菊主编. 现代实用静脉外科学 [M]. 北京: 军事医学科学出版社, 2006: 207-220.
3.	吴在德，吴肇汉主编. 外科学 [M]. 第7版. 北京: 人民卫生出版社, 2008： 179-180.
4.	杨国凯，杨镛，罗开元，等. 激光与射频腔内闭合治疗下肢静脉曲张 [Ｊ]. 中国现代普通外科进展， 2007； 10（2）： 173-174.
5.	杨国凯，杨镛，罗开元，等. 传统手术与激光腔内治疗下肢静脉曲张的临床观察 [Ｊ].　昆明医学院学报， 2008； 29（2）： 128-131.
6.	Aremu MA, Mahendran B, Butcher W， et al. Prospective randomized controlled trial: conventional versus powered phlebectomy [Ｊ]. J Vascu Surg, 2004； 39（1）: 88-94.　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　[7]Passman MA, Dattilo JB, Guzman RJ, et al. Combined endovenous ablation and transilluminated powered phlebectomy: is less invasive better? [Ｊ]. Vascu Endovasc Surg, 2007； 41（1）: 41-47.
7.	Shamiyeh A, Schrenk P, Huber E, et al. Transilluminated powered phlebectomy: advantages and disadvantages of a new technique [Ｊ]. Dermatol Surg, 2003； 29（6）： 616-619.
8.	马震寰，杨镛，杨国凯，等. Trivex静脉旋切系统在静脉性溃疡治疗中的应用 [Ｊ]. 中国医药导报， 2008； 5（8）： 94，119.
9.	袁素仙，杨镛，杨国凯，等. 下肢静脉性溃疡的微创治疗与护理 [Ｊ]. 中华临床医学杂志， 2008； 9（10）： 83-84.

1. 张培华主编. 临床血管外科学 [M]. 北京: 科学出版社, 2003： 448-449.
2. 陈翠菊主编. 现代实用静脉外科学 [M]. 北京: 军事医学科学出版社, 2006: 207-220.
3. 吴在德，吴肇汉主编. 外科学 [M]. 第7版. 北京: 人民卫生出版社, 2008： 179-180.
4. 杨国凯，杨镛，罗开元，等. 激光与射频腔内闭合治疗下肢静脉曲张 [Ｊ]. 中国现代普通外科进展， 2007； 10（2）： 173-174.
5. 杨国凯，杨镛，罗开元，等. 传统手术与激光腔内治疗下肢静脉曲张的临床观察 [Ｊ].　昆明医学院学报， 2008； 29（2）： 128-131.
6. Aremu MA, Mahendran B, Butcher W， et al. Prospective randomized controlled trial: conventional versus powered phlebectomy [Ｊ]. J Vascu Surg, 2004； 39（1）: 88-94.　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　[7]Passman MA, Dattilo JB, Guzman RJ, et al. Combined endovenous ablation and transilluminated powered phlebectomy: is less invasive better? [Ｊ]. Vascu Endovasc Surg, 2007； 41（1）: 41-47.
7. Shamiyeh A, Schrenk P, Huber E, et al. Transilluminated powered phlebectomy: advantages and disadvantages of a new technique [Ｊ]. Dermatol Surg, 2003； 29（6）： 616-619.
8. 马震寰，杨镛，杨国凯，等. Trivex静脉旋切系统在静脉性溃疡治疗中的应用 [Ｊ]. 中国医药导报， 2008； 5（8）： 94，119.
9. 袁素仙，杨镛，杨国凯，等. 下肢静脉性溃疡的微创治疗与护理 [Ｊ]. 中华临床医学杂志， 2008； 9（10）： 83-84.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Assessment and Curative Effect of Percutem Transilluminated with Negative Pressured on The Potaried Technique on Treatment of Venous Ulcer in Lower Extremity

Abstract Full text Figures/Tables Video References Cited by

Format

Content