Thibault P K, Lewis W A
Newcastle Laser Center, Australia.
J Dermatol Surg Oncol. 1992 Jul;18(7):618-24. doi: 10.1111/j.1524-4725.1992.tb03516.x.
There is the need to develop a universally accepted standard investigation for recurrent varicose veins. Duplex venous imaging offers a precise, non-invasive technique to make anatomic and hemodynamic diagnoses. A routine protocol of duplex imaging of recurrent varicose veins is described based on the known recurrent sources of reflux from deep to superficial veins. Results from this protocol indicate that incompetent perforating veins are the most common site of reflux from deep to superficial veins in patients with recurrent postsurgical varicose veins. Other important sites of reflux detected by this method are recurrent communications with the common femoral vein, the saphenopopliteal junction, and incompetent pelvic veins. Duplex imaging is recommended as a safe, non-invasive method of evaluating recurrent varicose veins.
有必要开发一种被普遍接受的复发性静脉曲张标准检查方法。双功静脉成像提供了一种精确的非侵入性技术，用于进行解剖学和血流动力学诊断。基于已知的从深静脉到浅静脉的复发性反流来源，描述了复发性静脉曲张双功成像的常规方案。该方案的结果表明，功能不全的穿通静脉是复发性手术后静脉曲张患者从深静脉到浅静脉反流的最常见部位。通过这种方法检测到的其他重要反流部位是与股总静脉、隐腘静脉交界处的复发性交通支以及功能不全的盆腔静脉。推荐双功成像作为评估复发性静脉曲张的一种安全、非侵入性方法。
