下肢静脉造影在下肢静脉疾病诊治过程中的临床意义

The clinical significance of venography in the diagnosis and treatment of lower limb venous diseases

目的:探讨下肢静脉造影在下肢静脉疾病诊治过程中的临床意义。方法:本组患者共1696例,对其中2123条下肢行下肢静脉顺行造影,同时行逆行下肢静脉造影452条,对造影表现进行分析。结果:2123条下肢造影成功率为100%。其中正常静脉11条(0.52%),单纯性浅静脉瓣膜关闭不全409条(19.27%),原发性深静脉瓣膜功能不全1120条(52.76%),深静脉血栓形成后综合征302条(14.23%),先天性下肢深静脉瓣膜发育不全症15条(0.71%),深静脉血栓形成65条(3.06%),先天性静脉畸形骨肥大综合征14例条(0.66%),左髂总静脉压迫综合征187条(8.81%)。结论:下肢静脉造影对下肢静脉疾病原发病因的明确诊断、选择恰当的治疗方法以及疗效的观察等具有重要的临床意义和实用价值。

Objective:To investigate the clinical significance of venous angiography In the process of diagnosis and treatment of venous disease.Methods:Venous angiography were performed in 2123 legs of 1696 patients,including 452 legs with retrograde angiography,then analysis the results.Results:The procedures were all technically successful in 2123 legs,11 normal legs(0.52%),409 legs with simple lower extremity varicose veins(19.27%),1120 legs with primary deep venous insufficiency(52.76%),302 legs with post-thrombosis syndrome(14.23%),15 legs with congenital hypoplasia of deep vein(0.71%),65 legs with deep venous thrombosis(3.06%),14 legs with klippel-trenaunay syndrome(0.66%),and 187 legs with Cockett syndrome(8.81%).Conclusion:It is important to take venous angiography in diagnosis and treatment of lower limb venous disease.