Papadakis K, Christodoulou C, Christopoulos D, Hobbs J, Malouf G M, Grigg M, Irvine A, Nicolaides A
Irvine Laboratory for Cardiovascular Investigation and Research, St. Mary's Hospital Medical School, London, UK.
Br J Surg. 1989 Jun;76(6):581-4. doi: 10.1002/bjs.1800760618.
Although incompetent thigh perforating veins are considered to be a common cause of recurrence of varicose veins after high saphenous ligation, the number and distribution of such incompetent veins have not been reported. The aim of the study was to determine the number and anatomical distribution of incompetent thigh perforating veins. Sixty-five limbs in 48 patients with varicose veins who were found to have incompetent thigh perforating veins on ascending deep to superficial venography were studied. In 80 per cent of patients one incompetent thigh perforating vein was found and in 20 per cent more than one was found. Concomitant incompetent calf perforating veins were found in 92 per cent of the limbs studied. The incompetent thigh perforating veins were found to occur anywhere in the thigh, from the upper edge of the patella to a few centimetres below the saphenofemoral junction. The majority (71 per cent) were found in the middle third of the thigh. All incompetent thigh perforating veins were communicating with the long saphenous vein, including those in five patients with incomplete stripping. The surgeon should be aware of incompetent thigh perforating veins which may be multiple and occur at any site on the medial aspect of the thigh.
尽管大腿交通静脉功能不全被认为是大隐静脉高位结扎术后静脉曲张复发的常见原因，但此类功能不全静脉的数量及分布情况尚未见报道。本研究的目的是确定大腿交通静脉功能不全的数量及解剖分布。对48例静脉曲张患者的65条肢体进行了研究，这些患者在深静脉向浅静脉上行造影时发现存在大腿交通静脉功能不全。80%的患者发现有1条大腿交通静脉功能不全，20%的患者发现有1条以上。在所研究的肢体中，92%同时存在小腿交通静脉功能不全。大腿交通静脉功能不全可出现在大腿的任何部位，从髌骨上缘至股隐静脉交界处下方几厘米处。大多数（71%）位于大腿中1/3段。所有大腿交通静脉功能不全均与大隐静脉相通，包括5例剥脱不完全患者的交通静脉。外科医生应意识到大腿交通静脉功能不全可能是多发的，且可出现在大腿内侧的任何部位。
