摘要
目的探讨顺行下肢静脉造影在下肢静脉曲张中的诊疗意义。方法选择2018年6月至2019年8月在襄阳市中心医院以下肢静脉曲张作为首发症状的入院患者230例行顺行下肢静脉造影检查,根据深静脉是否通畅将其分为单纯性下肢静脉曲张组(167例,A组)及继发性静脉曲张组(63例,B组),分别统计两组病例的性别、发病肢体侧别、有无肿胀及有无溃疡并行数据分析。结果A组中男性占比低于B组(57.5%vs 63.5%),但差异无统计学意义(P>0.05);A组左侧肢体发病占比低于B组(59.3%vs 76.2%),差异有统计学意义(P<0.05);A组合并下肢肿胀及足靴区溃疡的比例低于B组(31.1%vs 49.2%,18.6%vs 31.7%),差异有统计学意义(均P<0.05)。结论合并下肢肿胀、溃疡及患肢在左侧的患者继发下肢静脉曲张的风险更高,顺行下肢静脉造影可准确区别下肢静脉曲张分型,提高诊断符合率,有显著临床意义。
Objective To investigate the clinical significance of antegrade lower limb venography in varicose veins of lower limbs.Methods The data of 230 cases of varicose veins of lower limb in Department of Vascular Surgery,Xiangyang Central Hospital from June 2018 to August 2019 were examined by antegrade lower limb venography.All patients were divided into simple varicose veins group(group A,67 cases)and secondary varicose veins group(group B,63 cases)according to the patency of deep veins.The data of sex,limb side,swelling and ulcer were analyzed respectively.Results There was no significant difference in the results of sex between the two groups(57.5%vs 63.5%,P>0.05).The incidence of left side in group A was lower than that in group B(59.3%vs 76.2%,P<0.05).And the incidence of swelling of lower extremities and ulcer in boot area in group A was lower than that in group B(31.1%vs49.2%,P<0.05;18.6%vs 31.7%,P<0.05 respectively).Conclusions Combined with swelling of lower extremities,ulcer in boot area or the varicose veins in left side had a higher incidence of secondary varicose veins.Anterograde venography of lower extremities can accurately distinguish the classification of varicose veins of lower extremities and improve the diagnostic coincidence rate,which has significant clinical significance.
作者
龚斌
陈德杰
陈志丹
山长星
张超
谷涌泉
Gong Bin;Chen Dejie;Chen Zhidan;Shan Changxing;Zhang Chao;Gu Yongquan(Department of Vascular Surgery,Affiliated Hospital of Hubei University of Arts and Science,Xiangyang Central Hospital,Xiangyang 441700,China;Department of Vascular Surgery,Xuanwu Hospital,Institute of Vascular Surgery,Capital Medical University,Beijing 100053,China)
出处
《中国医师杂志》
CAS
2019年第12期1765-1767,1770,共4页
Journal of Chinese Physician
基金
北京市医院管理局“登峰”人才培养计划(DFL201508013)
首都卫生发展科研专项项目(首发2016-1-20124)
国家重点研发计划项目(2017YFC1104100)
北京市属医院科研培育计划(PX2018035)
北京市医管局青苗计划(QML20180804)~~
