63例经足背静脉顺行造影对下肢静脉曲张的诊断价值

63 cases by the dorsal vein of foot antegrade angiography diagnosis of lower extremity varicose veins

目的探讨下肢静脉曲张行下肢静脉顺行造影的X线表现及临床意义。方法对63例74侧下肢静脉曲张患者经患侧足背静脉注入碘造影剂,采用岛津800 mA带电视监视X线机及PHILIPS DRX线机行下肢静脉顺行造影。结果 63例74侧肢体均得到明确诊断。其中,单纯性浅静脉曲张38侧;伴有下肢深静脉瓣膜功能关闭不全21侧;伴有交通静脉瓣膜功能关闭不全8侧;伴有下肢静脉血栓形成7侧。结论下肢静脉顺行造影对下肢静脉曲张诊断可靠,创伤性小,安全性高,并发症发生率低,可作为下肢静脉曲张的检查方法。

Objective Discuss the X-ray imaging performance and clinical significance of conducting anterograde Venography on varicose vein of lower limbs. Methods 74 limbs in 63 cases of patients with varicose veins,by the ipsilateral instep vein injection of iodine contrast agent, using Shimadzu 800 mA X-ray machine with a TV monitor and PHILIPS DRX-ray machine to conduct anterograde venous angiography on varicose vein of lower limbs. Results 63 patients had received a clear diagnosis on 74 limbs. Among them, 38 sides happened with the simple superficial varicose veins; 21 sides associated with lower extremity deep vein valve functional insufficiency; 8 sides associated with functional insufficiency at traffic venous valve; 7 sides associated with venous thrombosis at lower limb. Conclusion Anterograde venography in diagnosis of lower extremity varicose veins should be the preferred cheek method, for the characteristics of high reliability,small trauma, high security,and low complication rate.