Sun J M, Zhang P H
Department of Surgery, Ninth People's Hospital, Shanghai Second Medical University, China.
Angiology. 1990 May;41(5):401-7. doi: 10.1177/000331979004100508.
Through clinical and venographic study of 353 diseased limbs, the authors advocate a new classification for the postthrombotic syndrome of the deep veins of the lower extremity. The postthrombotic lower extremities may be divided into two types: (1) lesions of the whole lower extremity, consisting of the completely obstructed, partially recanalized, and completely recanalized types; (2) local lesions, such as segmental obstruction of the iliac, iliofemoral, superficial femoral, femoropopliteal veins, and the tibioperoneal venous trunk and the venous plexus in calf muscles. Each type has its characteristics related to the duration of symptoms and clinical features, and their management is not the same at all. The authors suggest that clinically this new classification may be of great help in estimating the status of the diseased limb and in selecting proper method of treatment.
通过对353条患病肢体的临床和静脉造影研究，作者倡导对下肢深静脉血栓形成后综合征进行新的分类。下肢血栓形成后可分为两种类型：（1）整个下肢病变，包括完全阻塞型、部分再通型和完全再通型；（2）局部病变，如髂静脉、髂股静脉、股浅静脉、股腘静脉节段性阻塞，以及胫腓静脉主干和小腿肌肉静脉丛病变。每种类型都有与其症状持续时间和临床特征相关的特点，其治疗方法也完全不同。作者认为，临床上这种新分类法可能对评估患肢状况和选择合适的治疗方法有很大帮助。
