摘要
目的 :探讨静脉顺行造影在静脉畸形骨肥大综合症 (KTS)的应用价值。方法 :对 9例下肢静脉畸形骨肥大综合症患者行顺性静脉造影检查 ,其中有 4例于术后复查顺性静脉造影 ,以评价静脉畸形的部位、狭窄的范围与程度。 9例患者均行B超检查。结果 :静脉造影显示本组 9例患者中 ,1例胫腓干静脉狭窄 ,1例胫腓干静脉狭窄并静脉狭窄 ,4例静脉狭窄 ,1例静脉狭窄合并股静脉狭窄 ,4例股静脉狭窄。 4例行手术治疗的患者 ,于术后复查下肢静脉造影 ,显示浅静脉曲张较术前减少 ,深静脉通畅度改善。结论 :静脉造影提供了明确的静脉畸形范围 ,从而对临床治疗提供可靠的依据 ;并有利于术前、术后对比 ,以评价疗效。
Objectives:To evaluate the value of ascending phlebography in the diagnosis of Klippel Trenaunay syndrome(KTS).Method:9 patients with KTS underwent ascending phlebography of lower extremity,and 4 of them received reexamination after surgical treatment. Following phlebography the location of venous malformation, and the extent and degree of venous stenosis were evaluated. All the patients were also examined by ultrasound.Results:Phlebograms of 9 patients demonstrated tibiofibular venous stenosis (n=1), stenosis of tibiofibular vein and popliteal vein (n=1),narrowing of popliteal vein (n=4),narrowing of fibular vein and popliteal vein(n=1), narrowing of femoral vein (n=4),narrowing of both popliteal and femoral vein(n=1). Following surgical treatment of 4 patients,phlebograms documented the alleviation of varicose superficial vein and restored deep vein,compared to the findings before surgery.Conclusion:Phlebography can provide definite range and degree of the venous abnormality, warrant the clinical treatment and benefit the future evaluation as a baseline.
出处
《放射学实践》
2001年第5期336-338,共3页
Radiologic Practice
