AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patie...AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patients with one group (16 legs) of normal deep vein valve function and another group (35 legs) inefficiency deep vein valve function, The results were compared with those of venography of leg deep vein. RESULTS Correctness rate in the normal group was 94% and in the abnormal group was 89%. Its sensitivity and specificity werc 97% and 79% re spectively. Total agreement rate was 90%. CONCLUSION Doppler ultrasonic exploration can be applied to the evaluation of the leg deep vein valve function. It is asy, rapid and non traumatic and can also partially replace the venography.展开更多
目的探讨股浅静脉戴戒术和单纯性静脉高位结扎加剥脱术治疗原发性下肢深静脉瓣膜功能不全(PDVI)后的下肢静脉压变化。方法收集2008年1月至2010年1月本院治疗的106例PDVI患者(121条患肢),分为股浅静脉戴戒术组(A组,51例患者,53条患肢)和...目的探讨股浅静脉戴戒术和单纯性静脉高位结扎加剥脱术治疗原发性下肢深静脉瓣膜功能不全(PDVI)后的下肢静脉压变化。方法收集2008年1月至2010年1月本院治疗的106例PDVI患者(121条患肢),分为股浅静脉戴戒术组(A组,51例患者,53条患肢)和单纯性浅静脉高位结扎加剥脱术组(B组,55例患者,68条患肢),在手术前、术后12天、1年和5年分别进行患肢足背静脉压测定。结果手术后1年:A组51例术前和术后静态静脉压(P0)为(127.80 cm H2O vs 126.55 cm H2O)和B组55例术前和术后静态静脉压(P0)为(126.70 cm H2O vs 125.80 cm H2O),两组均比较无统计学差异(P>0.05),A组术前和术后运动后最低静脉压(Pmin)为(76.54 cm H2O vs 63.3 cm H2O),压力回升到静止静脉压水平90%时所需时间(RT90)为(8.20秒vs 18.60秒),和B组术前和术后Pmin(75.72 cm H2O vs75.10 cm H2O)与RT90(8.50秒vs 8.1秒)相比较,A组统计学有显著性差异(P<0.01),B组无统计学差异(P>0.05)。结论股浅静脉戴戒术在术后能有效的降低运动后静脉压最低值(Pmin),同时能延长压力回升到静止静脉压水平90%的时间(RT90)。展开更多
下肢深静脉瓣膜功能不全引起的倒流性疾病占下肢静脉疾病的绝大多数,直到Kistner正式提出原发性下肢深静脉瓣膜功能不全(Primary deep venous insufficiency,PDVI)的概念后,国内外学者才对PDVI的发病机理和治疗进行了系统的探索与...下肢深静脉瓣膜功能不全引起的倒流性疾病占下肢静脉疾病的绝大多数,直到Kistner正式提出原发性下肢深静脉瓣膜功能不全(Primary deep venous insufficiency,PDVI)的概念后,国内外学者才对PDVI的发病机理和治疗进行了系统的探索与研究。本文就PDVI目前各种手术方式及其选择作一综述。展开更多
文摘AIM To evaluate the correctness rate of the Doppler ultrasonic (DU) exploration applied to the examination of the leg deep vein valve (VV) functions. METHODS Using Doppler ultrasonic to explore the two groups of patients with one group (16 legs) of normal deep vein valve function and another group (35 legs) inefficiency deep vein valve function, The results were compared with those of venography of leg deep vein. RESULTS Correctness rate in the normal group was 94% and in the abnormal group was 89%. Its sensitivity and specificity werc 97% and 79% re spectively. Total agreement rate was 90%. CONCLUSION Doppler ultrasonic exploration can be applied to the evaluation of the leg deep vein valve function. It is asy, rapid and non traumatic and can also partially replace the venography.
文摘目的探讨股浅静脉戴戒术和单纯性静脉高位结扎加剥脱术治疗原发性下肢深静脉瓣膜功能不全(PDVI)后的下肢静脉压变化。方法收集2008年1月至2010年1月本院治疗的106例PDVI患者(121条患肢),分为股浅静脉戴戒术组(A组,51例患者,53条患肢)和单纯性浅静脉高位结扎加剥脱术组(B组,55例患者,68条患肢),在手术前、术后12天、1年和5年分别进行患肢足背静脉压测定。结果手术后1年:A组51例术前和术后静态静脉压(P0)为(127.80 cm H2O vs 126.55 cm H2O)和B组55例术前和术后静态静脉压(P0)为(126.70 cm H2O vs 125.80 cm H2O),两组均比较无统计学差异(P>0.05),A组术前和术后运动后最低静脉压(Pmin)为(76.54 cm H2O vs 63.3 cm H2O),压力回升到静止静脉压水平90%时所需时间(RT90)为(8.20秒vs 18.60秒),和B组术前和术后Pmin(75.72 cm H2O vs75.10 cm H2O)与RT90(8.50秒vs 8.1秒)相比较,A组统计学有显著性差异(P<0.01),B组无统计学差异(P>0.05)。结论股浅静脉戴戒术在术后能有效的降低运动后静脉压最低值(Pmin),同时能延长压力回升到静止静脉压水平90%的时间(RT90)。
文摘下肢深静脉瓣膜功能不全引起的倒流性疾病占下肢静脉疾病的绝大多数,直到Kistner正式提出原发性下肢深静脉瓣膜功能不全(Primary deep venous insufficiency,PDVI)的概念后,国内外学者才对PDVI的发病机理和治疗进行了系统的探索与研究。本文就PDVI目前各种手术方式及其选择作一综述。