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[下肢深静脉瓣膜功能不全的临床研究]

[Clinical aspects of deep venous varicose insufficiency].

作者信息

Petter O

出版信息

Phlebologie. 1992 Jul-Sep;45(3):247-53; discussion 253-4.

PMID:1470647
Abstract

Attention is paid to the set of problems connected with the non-thrombotic insufficiency of the conducting veins of the leg. Phlebographic and X-ray morphometric investigations of the last years were able to prove that the primary varicosis does not exclusively represent a disease of the superficial and perforating fasciae venous system, but that the subfascial venous system (system of conductive veins) is without doubt also included in the pathogenetic reactive process. Two casuistic descriptions of cases with phlebographically and Doppler-sonographically ascertained insufficiency of the conductive veins of the leg are demonstrated. It is referred to the diagnostic, clinical and therapeutic problems of the isolated non-thrombotic insufficiency of the conductive veins. Leading diagnostic criteria of the isolated ectasic (varicose) insufficiency of the conducting veins of the leg are: symptomatology of subjective complaints, such as sensation of tension, feeling of heaviness of the legs, inclination to swelling, pains, epifascial freedom from varices, phlebographic evidence of the ectasia of conductive veins and sonographic confirmation of reflux.

摘要

人们关注与腿部传导静脉非血栓性功能不全相关的一系列问题。过去几年的静脉造影和X射线形态测量研究已能够证明,原发性静脉曲张并非仅仅是浅筋膜和穿通静脉系统的疾病,毫无疑问,筋膜下静脉系统(传导静脉系统)也包含在致病反应过程中。文中展示了两例经静脉造影和多普勒超声检查确定腿部传导静脉功能不全病例的具体描述。文中还提到了孤立性传导静脉非血栓性功能不全的诊断、临床和治疗问题。腿部传导静脉孤立性扩张(曲张)功能不全的主要诊断标准为:主观症状,如紧张感、腿部沉重感、肿胀倾向、疼痛、浅筋膜无静脉曲张、传导静脉扩张的静脉造影证据以及反流的超声证实。

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