van Neer Pierre Antonius Franciscus Alexius, Veraart Joep Cristianus Jacobus Maria, Neumann Hendrik Arent Martino
Laurentius Hospital, Roermond University Hospital, Maastricht Erasmus Medical Center, Rotterdam, the Netherlands.
Dermatol Surg. 2003 Sep;29(9):931-42; discussion 942. doi: 10.1046/j.1524-4725.2003.29273.x.
Although many articles on perforating veins have been published, much knowledge about these veins is lacking.
In this review relevant facts about the clinical importance of perforating veins in venous disease are described.
A literature search on English, French and German articles has been performed using literature databases like Medline, Embase and Cochrane.
Selection criteria are described.
A few conclusions are drawn: incompetent perforating veins can be of haemodynamic importance, especially in venous ulceration and (recurrent) varicose veins. The current definition of incompetent perforating veins is reflux more than 0,5 seconds (detected by Duplex ultra-sonography). Good anatomical and clinical classifications are published and should be integrated in the CEAP classification. Based on the clinical classification treatment options are described for the different types of incompetent perforating veins. Two different treatment modalities for incompetent perforating veins are surgery (SEPS) and sclerotherapy. SEPS seems to be of benefit in patients with venous ulceration and advanced CVI. Sclero-therapy (especially ultra sound guided sclerotherapy) is promising and worth further evaluation.
尽管已经发表了许多关于穿支静脉的文章，但对这些静脉仍缺乏很多了解。
在本综述中，描述了穿支静脉在静脉疾病中临床重要性的相关事实。
使用Medline、Embase和Cochrane等文献数据库对英文、法文和德文文章进行了文献检索。
描述了选择标准。
得出了一些结论：功能不全的穿支静脉可能具有血流动力学重要性，尤其是在静脉溃疡和（复发性）静脉曲张中。功能不全的穿支静脉的当前定义是反流超过0.5秒（通过双功超声检测）。已发表了良好的解剖学和临床分类，应将其纳入CEAP分类中。基于临床分类，描述了针对不同类型功能不全穿支静脉的治疗选择。功能不全穿支静脉的两种不同治疗方式是手术（SEPS）和硬化疗法。SEPS似乎对静脉溃疡和晚期慢性静脉功能不全患者有益。硬化疗法（尤其是超声引导下的硬化疗法）很有前景，值得进一步评估。
