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[超声检查在下肢静脉慢性疾病诊断中的应用]

[Ultrasonic examination in the diagnosis of chronic diseases of the veins of the lower extremities].

作者信息

Konstantinova G D, Bogachev V Iu, Zubarev A R, Bogdanov A E

出版信息

Khirurgiia (Mosk). 1991 Oct(10):105-11.

PMID:1803077
Abstract

Noninvasive diagnosis of chronic diseases of the lower limb venous system is an urgent problem of modern phlebology. Ultrasonic examination (USE) makes it possible to judge adequately the condition of the deep and surface veins and, consequently, to improve significantly the management of varicose and post-thrombophlebitic diseases. The authors elaborated an original method for the diagnosis and appraisal of the condition of the lower limb venous system by means of ultrasonic scanning and various functional tests for determining the character of affection of the venous valvular apparatus. Examination of more than 200 patients with primary varicosities and post-thrombophlebitic disease, the use of highly-resolving ultrasonic equipment, and comparison of the results of USE with the findings of radiocontrast phlebography (agreement in 99.8% of cases) allow the conclusion that noninvasive ultrasonic methods must be used widely in appraising the venous status in patients with chronic diseases of the venous system of the lower limbs.

摘要

下肢静脉系统慢性疾病的无创诊断是现代静脉病学的一个紧迫问题。超声检查(USE)能够充分判断深静脉和浅静脉的状况,从而显著改善对静脉曲张和血栓形成后疾病的治疗。作者通过超声扫描及各种功能测试,阐述了一种用于诊断和评估下肢静脉系统状况的原创方法,以确定静脉瓣膜装置的病变特征。对200多名原发性静脉曲张和血栓形成后疾病患者进行检查,使用高分辨率超声设备,并将超声检查结果与放射性静脉造影结果进行比较(99.8%的病例结果一致),得出结论:在评估下肢静脉系统慢性疾病患者的静脉状况时,必须广泛使用无创超声方法。

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