Zygmunt Joseph
Veinz, Phlebology Consulting Services, Durham, North Carolina, USA.
Perspect Vasc Surg Endovasc Ther. 2009 Jun;21(2):94-104. doi: 10.1177/1531003509338074. Epub 2009 Jul 28.
The diagnosis and treatment of chronic venous disease has undergone a quantum leap forward in recent decades. In many ways, the venous system is now considered more complex than the arterial system. This is a result of the advances in understanding due to improvements in duplex ultrasound equipment, diagnostic techniques, and communication standards as they relate to findings in anatomy, pathology, and hemodynamics. Currently, it is self-evident that duplex ultrasound has become the gold standard for diagnosis of the venous system providing anatomic and functional information. Mapping techniques, understanding of superficial reflux, and other factors that affect duplex ultrasound findings are presented. These factors and techniques can affect diagnostic results and therefore have significant impact on the planning and approach to treatment of primary and recurrent venous insufficiency.
近几十年来，慢性静脉疾病的诊断和治疗取得了巨大飞跃。在许多方面，现在认为静脉系统比动脉系统更复杂。这是由于双功超声设备、诊断技术以及与解剖学、病理学和血流动力学发现相关的通信标准的改进，使得认识有了进展。目前，不言而喻，双功超声已成为诊断静脉系统的金标准，可提供解剖和功能信息。本文介绍了成像技术、对浅静脉反流的认识以及其他影响双功超声检查结果的因素。这些因素和技术会影响诊断结果，因此对原发性和复发性静脉功能不全的治疗规划和方法有重大影响。
