静脉成像与超声在下肢静脉曲张术后复发中的诊断价值分析

Diagnostic Value of Venography and Ultrasonography in Recurrence of Varicose Veins of Lower Extremity

【目的】探讨下肢静脉成像(MSCTV)联合静脉超声在分析下肢静脉曲张术后复发原因的应用价值。【方法】选取2017年6月至2019年6月本院收治的52例下肢静脉曲张术后复发患者,回顾性分析患者的临床资料,探讨静脉曲张术后复发的影响因素。【结果】行传统剥脱术、腔内热消融术、泡沫硬化术的患者间术后复发年限比较,差异无统计学意义(P>0.05)。MSCTV较静脉造影有更高的髂静脉受压(IVCS)检出率,且能明确受压原因,IVCS(18/54)是下肢静脉曲张术后复发的首要原因,体重指数与静脉曲张术后复发时间呈负相关(P<0.05)。静脉曲张家族史、肥胖、未加压治疗的患者术后复发年限高于无静脉家族史、无肥胖、加压治疗的患者(P<0.05)。IVCS、交通静脉反流患者术后复发年限高于非IVCS、无交通静脉反流患者(P<0.05)。【结论】MSCTV与静脉彩超联合应用可以准确诊断下肢静脉曲张术后复发原因,手术前后应重视复发原因的存在并有效解决。

【Objective】To explore the application value of MSCTV combined with ultrasound in the analysis of the causes of recurrence of varicose veins of lower extremity.【Methods】From June 2017 to June 2019,52 patients with postoperative recurrence of varicose veins of lower extremities in our hospital were selected.The clinical data of the patients were retrospectively analyzed,and the influencing factors of postoperative recurrence of varicose veins were analyzed.【Results】There was no significant difference in recurrence years between patients undergoing conventional exfoliation,intraoperative thermal ablation and foam sclerotherapy(P>0.05).Compared with venography,MSCTV had a higher detection rate of iliac vein compression(IVCS)and could identify the cause of compression.IVCS(18/54)was the primary cause of postoperative recurrence of varicose veins of lower extremities.BMI was negatively correlated with the recurrence time of varicose veins(P<0.05).The recurrence years of patients with family history of varicose veins,obesity and without pressure treatment were higher than those without family history of varicose veins,obesity and pressure treatment(P<0.05).The recurrence years of IVCS and RVR patients were higher than those of non IVCS and RVR patients(P<0.05).【Conclusion】The combined application of MSCTV and color Doppler ultrasound can accurately diagnose the causes of postoperative recurrence of varicose veins of lower extremities.