Gobin J P, Hiltbrand B, Perrin M
Clinique du Grand-Large, Décines.
J Mal Vasc. 1992;17 Suppl B:117-20.
In chronic venous insufficiency, photoplethysmography, in addition to the clinical and Doppler examinations, offers important informations in the differential diagnosis between deep and superficial venous insufficiency. It is a simple, reproductible, non invasive test with data similar to venous pressure measurements. Photoplethysmography permits to set up quantitative criteria of venous insufficiency. It establishes the role of reflux in the dysfunction of the leg venous pump, and makes it possible to adjust for prescription of additional explorations, in particular popliteal or femoral dynamic phlebography. Furthermore, photoplethysmography offers a solid criterion to differentiate between various therapeutic surgeries: surgery of the superficial network, surgery of collateral veins, surgery to restore the deep venous network. Moreover, photoplethysmography is a useful tool to quantitatively appreciate the results of the venous insufficiency treatment. In conclusion, photoplethysmography appears as an additional examination necessary for functional exploration in chronic venous insufficiency. Its use in practical angiology is going to develop in view of its interesting results and its reasonable cost.
在慢性静脉功能不全中，除临床检查和多普勒检查外，光电容积描记术在鉴别深静脉和浅静脉功能不全方面提供了重要信息。它是一种简单、可重复、无创的检查，所获数据与静脉压力测量结果相似。光电容积描记术有助于建立静脉功能不全的定量标准。它确定了反流在腿部静脉泵功能障碍中的作用，并使得能够针对进一步检查（特别是腘静脉或股静脉动态静脉造影）的处方进行调整。此外，光电容积描记术为区分各种治疗性手术提供了可靠标准：浅静脉网手术、侧支静脉手术、恢复深静脉网手术。而且，光电容积描记术是定量评估静脉功能不全治疗效果的有用工具。总之，光电容积描记术似乎是慢性静脉功能不全功能检查所需的一项补充检查。鉴于其有趣的结果和合理的成本，它在实用血管病学中的应用将会得到发展。
