摘要
１９９０年～１９９５年作者对１２４例、１４４条下肢静脉曲张患肢于术中进行了深静脉逆行造影。方法是术中自大隐静脉主干或其分支置管，并暂时阻断股总静脉，用注射器推注４０％的泛影葡胺，透视下移动手术床观察深静脉瓣膜的情况。逆流分级的标准是在Ｋｉｓｔｎｅｒ分级的基础上，按照瓣膜的标志为准。造影结果显示原发性下肢深静脉瓣膜功能不全的患肢在下肢静脉曲张中占７４．３％，在临床表现上，病变的程度与逆流的程度不成正比。另外，原发性下肢深静脉瓣膜功能不全的发生率与下肢静脉曲张剥脱术后的复发率有着较大的差距。因而，作者认为，原发性下肢深静脉瓣膜功能不全与下肢静脉曲张的关系仍有待作进一步的深入研究。
Abstract From 1990 to 1995, 144 legs were examined by means of descending venography during operation in 124 patients with varicose veins. The descending venography was performed in the following manner. A angiographic catheter was inserted into great saphenous vein or its branch. After common femoral vein was isolated, 40% Urografin was injected by syringe.The function of deep venous valve was monitored by fluoroscopy as well as moving the operative bed. On the basis of Kistner standard,our reflux grading standard was according to the valvular location. The result showed that legs with deep venous valvular insufficicency account for 74. 3% of the total 144 legs. On clinical expression, the degree between the lesion and the venous reflux was not a direct ratio. In addition a great difference between the morbility of deep venous valvular insufficiency and recurrence rate after varicose vein stripping. Therefore,we think that the relationship between deep venous valvular insufficiency and varicose vein remains to be verified.
出处
《普外临床》
CSCD
1996年第6期348-349,共2页
