下肢静脉倒流性疾病的造影诊断(附123例分析)

Venographic diagnosis of lower extremity venous reflux disease(analysis of 123 cases)

目的：探讨下肢静脉倒流性疾病的最佳造影检查方法。材料和方法：分别对 123例下肢静脉病变行顺行造影、经皮穿刺 ?静脉插管造影及改良法下肢静脉造影，比较分析不同检查方法显示下肢深静脉瓣膜功能、浅－深静脉交通支及浅静脉病变的价值。结果：顺行造影显示 42条下肢原发性下肢深静脉瓣膜功能不全 (PDVI)、 13条单纯性浅静脉曲张， ?穿造影显示 PDVI 39条、单纯性浅静脉曲张 4条；改良法显示 PDVI 36条，单纯性浅静脉曲张 1条。此外， ?穿造影及改良法还分别显示了不同程度的血液倒流及瓣膜功能损害。结论：改良法较单纯顺行及 ?穿造影能更好地显示下肢浅静脉及深静脉瓣膜功能异常。

Objective:To explore the best method for diagnosis of lower extremity venous reflux disease.Material and Methods:One hundred and twenty－ three cases with lower extremity venous disease were examined by antegrade,transpopliteal of venous catheterization and modified method(combination of antegrade and transpopliteal venous venography) of venography.Their venographic appearances(including superficial venous,deep venous valve function) were evaluated.Results:Forty－ two primary lower extremity deep venous valve insufficiency(PDVI) and 13 superficial venous varices were shown by antegrade venography,39 PDVI,four superficial venous varices were shown by transpopliteal venography,and modified method showed 36 PDVI,one superficial venous varix.The latter two methods also showed various extent of reflux and venous valve dysfunction.Conclusion:The modified method is best for diagnosis of lower extremity venous reflux disease.