Leopold P W, Shandall A, Kupinkski A M, Chang B B, Kaufman J, Shah D M, Leather R P
Department of Surgery, Albany Medical College, New York 12208.
Br J Surg. 1989 Mar;76(3):305-7. doi: 10.1002/bjs.1800760326.
Two hundred and eighty patients underwent B-mode mapping (B-map) of their saphenous vein over a period of 3 years (1984-1987) before lower limb revascularization. B-map deemed that 229 veins were suitable for bypass, 26 were questionable and 25 were unsuitable. A successful bypass was achieved in 97.8 per cent of the suitable group (all in situ), 85 per cent of the questionable group (in situ and composite vein), and 80 per cent of the unsuitable group (composite vein). At a minimum follow-up period of 1 year the overall patency rate was 95.0 per cent with a revision rate of 15.8 per cent. There was no correlation between revision rate and vein complexity or calf vein diameter. Calf vein diameter greater than 2.5 mm was correlated with a successful bypass (P less than 0.001). It is concluded that B-map is the investigation of choice for saphenous vein assessment before infrainguinal bypass surgery.
在下肢血管重建术前的3年期间（1984 - 1987年），280例患者接受了大隐静脉的B型超声造影（B-map）检查。B-map检查显示，229条静脉适合用于搭桥，26条存疑，25条不适合。在适合组中，97.8%（均为原位搭桥）成功完成搭桥；在存疑组中，85%（原位搭桥和复合静脉）成功完成搭桥；在不适合组中，80%（复合静脉）成功完成搭桥。在至少1年的随访期内，总体通畅率为95.0%，翻修率为15.8%。翻修率与静脉复杂性或小腿静脉直径之间无相关性。小腿静脉直径大于2.5 mm与搭桥成功相关（P<0.001）。结论是，B-map是腹股沟下搭桥手术前大隐静脉评估的首选检查方法。
