Beatty J, Fitridge R, Benveniste G, Greenstein D
Department of Vascular Surgery, Queen Elizabeth Hospital, Adelaide, Australia.
Int Angiol. 2002 Mar;21(1):93-5.
Superficial venous thrombophlebitis (SVT) of the long saphenous vein (LSV) has been shown to be associated with thrombus propagation into the common femoral vein in up to 44% of cases. Conservative management can thus result in deep vein thrombosis (DVT), deep vein insufficiency or fatal pulmonary embolism (PE). To examine the effects of emergency division of the sapheno-femoral junction (SFJ) on the deep venous system in SVT of the LSV we used pre- and postoperative venous duplex ultrasound.
Emergency division of the SFJ was performed in 17 patients presenting with acute superficial venous thrombophlebitis. All patients had duplex ultrasound, which demonstrated thrombus of the above knee long saphenous vein together with a normal deep venous system. A follow-up duplex ultrasound scan was arranged on discharge and at 2 months.
No patient had propagation of thrombus into the deep venous system or a PE. One patient developed a non-occlusive clot in the popliteal vein at 2 months follow-up. All patients were discharged at 48 hours.
Using duplex ultrasound it has been shown that emergency division of the SFJ is a safe and effective way of preventing serious complications caused by thrombus in above knee LSV SVT.
大隐静脉浅静脉血栓形成（SVT）已被证明在高达44%的病例中与血栓蔓延至股总静脉有关。因此，保守治疗可能导致深静脉血栓形成（DVT）、深静脉功能不全或致命性肺栓塞（PE）。为了研究大隐-股静脉交界处（SFJ）紧急离断术对大隐静脉SVT患者深静脉系统的影响，我们采用了术前和术后静脉双功超声检查。
对17例急性浅静脉血栓形成患者实施了SFJ紧急离断术。所有患者均接受双功超声检查，结果显示膝上大隐静脉血栓形成且深静脉系统正常。出院时及出院后2个月安排了双功超声随访扫描。
无患者血栓蔓延至深静脉系统或发生肺栓塞。1例患者在2个月随访时腘静脉出现非闭塞性血栓。所有患者均在48小时内出院。
通过双功超声检查表明，SFJ紧急离断术是预防膝上大隐静脉SVT血栓引起严重并发症的一种安全有效的方法。
