Objective：To evaluate the effect of early surgical treatment for primary lower limb varicose veins complicated by thrombophlebitis.
Methods：The clinical date of 42 patients with primary lower extremity varicose veins complicated by thrombophlebitis treated in 4 years were analyzed retrospectively. The CEAP classification was adopted to establish the diagnoses of the all patieats. In the early stage, high ligation and stripping of the varicase veins were performed. After removal of varicose veins and thrombi, both anti-inflammation therapy and anticoagulant therapy were applied.
Results：All patients made a good recovery. After surgery, 3 patients had skin callous and swelling, and 3 patients had foot nerve paresthesia. But, no serious complications, such as deep venous thrombosis or pulmonary embolism, were observed. The was no recurrence during 2 months to 4 years follow-up.
Conclusions：Early surgical treatment for primary lower limb varicose veins complicated by superficial thrombophlebitis not only has good results but also helps control of deep venous thrombosis and pulmonary embolism, and other serious complications that can  result from superficial venous thrombosis.