Konstantinova G D, Grigorian R A, Pobivanets V I, Popov Iu P
Vestn Khir Im I I Grek. 1975 Dec;115(12):52-7.
It is believed by the investigators of recurrent venous varicosity of lower limbs that phlebography aids to detect errors of the performed operative procedure and to reveal what caused the recurrence. The authors' experience comprise 48 distal, ascending, vertical phlebographies, and 47 pelvic and retrograde femoral ones in 60 patients, both explorations being utilized for 28 lower limbs. Distal phlebography in 44 of 48 examined patients indicated insufficiency of perforated veins that caused the recurrent crural varices. It is considered that in surgical therapy for venous varicosity a due consideration should be given for both a liquidation of recognized errors of the preceding surgery and a correction of pathological changes in deep veins of the lower extremities.
下肢复发性静脉曲张的研究者认为,静脉造影有助于检测所施行手术操作中的失误,并揭示复发的原因。作者的经验包括对60例患者进行48次远端、上行、垂直静脉造影以及47次盆腔和逆行股静脉造影,28条下肢同时采用了这两种检查方法。48例受检患者中,44例的远端静脉造影显示穿孔静脉功能不全,导致复发性小腿静脉曲张。人们认为,在静脉曲张的外科治疗中,应适当考虑纠正先前手术中已确认的失误以及下肢深静脉的病理改变。