通过三维计算机断层扫描静脉造影术术前确定小隐静脉解剖变异以进行静脉曲张手术

Preoperative determination of anatomic variations of the small saphenous vein for varicose vein surgery by three-dimensional computed tomography venography.

作者信息

Kim S-Y, Park E-A, Shin Y-C, Min S-I, Lee W, Ha J, Kim S J, Min S-K

机构信息

Department of Surgery, Seoul National University Hospital, Seoul, Korea.

出版信息

Phlebology. 2012 Aug;27(5):235-41. doi: 10.1258/phleb.2011.011023. Epub 2011 Oct 28.

DOI:10.1258/phleb.2011.011023

PMID:22037280

Abstract

OBJECTIVE

To define the anatomical variations of small saphenous vein (SSV) for varicose vein (VV) surgery by three-dimensional computed tomography venography (3D-CTV) and to analyse the impact of this preoperative evaluation on surgical outcomes.

METHODS

A total of 120 consecutive limbs with SSV insufficiency having undergone VV surgery from January 2005 until December 2007 were enrolled. The medical records and images were analysed retrospectively.

RESULTS

The relationship between SSV and gastrocnemial vein (GNV) were categorized into two: (a) SSV and GNV drained to popliteal vein (PV) separately (100 limbs, 87%) and (b) SSV and GNV made common channel which drained to PV (15 limbs, 13%). Saphenopopliteal junction morphology was normal (75 limbs), severe tortuosity near PV (19 limbs), ampullary ectasia (4 limbs) and duplicated drainage to PV (2 limbs). No recurrence of VV was noted.

CONCLUSIONS

CTV can provide thorough preoperative anatomic information of the SSV variations and reduce the recurrence of VV.

摘要

目的

通过三维计算机断层扫描静脉造影（3D-CTV）确定小隐静脉（SSV）在静脉曲张（VV）手术中的解剖变异，并分析这种术前评估对手术结果的影响。

方法

纳入2005年1月至2007年12月期间连续120例接受VV手术且存在SSV功能不全的肢体。对病历和图像进行回顾性分析。

结果

SSV与腓肠静脉（GNV）的关系分为两类：（a）SSV和GNV分别汇入腘静脉（PV）（100例肢体，87%）；（b）SSV和GNV形成共同通道汇入PV（15例肢体，13%）。隐腘静脉交界处形态正常（75例肢体），PV附近严重迂曲（19例肢体），壶腹样扩张（4例肢体），以及重复汇入PV（2例肢体）。未发现VV复发。