下肢深静脉顺行造影临床应用体会(附1113例造影结果分析)

Clinical analysis of anterograde visualization of deep vein of lower limb(Appendix of visualization results of 1113 cases).

目的 通过对 1139条下肢深静脉顺行造影结果分析 ,了解各种下肢静脉疾病所占的比例。方法 1993年 3月至 2 0 0 1年 1月 ,共行下肢静脉顺行造影 1113例共 1139条肢体。结果 原发性深静脉瓣膜功能不全72 3条下肢 (6 3 4 7% ) ,其中双股静脉畸形的原发性深静脉瓣膜功能不全 38条 (3 34% ) ;深静脉血栓后遗症 2 0 9条 (18 35 % ) ;单纯性大隐静脉曲张 199条 (17 4 7% ) ;先天性无瓣膜症 4条 (0 35 % ) ;先天性静脉畸形骨肥大综合征 4条 (0 35 % )。结论 下肢深静脉造影是下肢静脉疾病诊断和鉴别诊断的最可靠方法 。

Objective\ Through the analysis of anterograde visualization of 1139 strips of deep vein of lower limb to understand the proportion that various diseases of lower limb vein accounted for.Method\ From March 1993 to January 2001,there were 1113 cases,totally 1139 limbs were carried out anterograde visualization of deep vein of lower limb.Result\ There were 723 lower limbs(63 47%)with primary valvular insufficiency of deep vein,among whom 38 lower limbs(3 34%)with primary valvular insufficiency of deep vein by double femoral veins deformation;209 lower limbs(18 35%)with sequel of thrombosis of deep vein;199 lower limbs (17 47%)with simple varicosis of great saphenous vein;4 lower limbs(0 35%)with congenital valveless;and 4 lower limbs with congenital vein deformity and hyperostosis syndrome.Conclusion\ Deep vein visualization of lower limb is the most dependable method for diagnosis and differential diagnosis of lower limb diseases,and provides reliable evidence for the treatment of lower limb disease.