MVZ Dr. Zollmann und Kollegen, Jena, Germany.
Praxis für Venen- und Hauterkrankungen, Jena, Germany.
J Vasc Surg Venous Lymphat Disord. 2017 Jan;5(1):82-86. doi: 10.1016/j.jvsv.2016.10.001.
The purpose of this paper was to describe patterns of superficial reflux in the groin with respect to the terminal valve (TV), which is located at the saphenous opening to the common femoral vein, the great saphenous vein, and its tributary veins.
This study included 2019 legs with chronic venous insufficiency that received endoluminal varicose vein treatment because of varicosities with insufficiency of the saphenofemoral junction (SFJ). In a preoperative duplex ultrasound investigation of the superficial vein system, reflux after provocation in the SFJ, great saphenous vein, cranial veins (superficial external pudendal vein, superficial epigastric vein, superficial circumflex iliac vein), and anterior and posterior accessory saphenous veins was recorded and classified on the basis of the origin of reflux.
In 1348 legs (66.8%), the reflux had its origin exclusively in the common femoral vein. In 170 legs (8.4%), the reflux had its origin in the common femoral and cranial veins. In 430 legs (21.3%), the insufficiency was due to saphenocranial reflux only. In 71 legs (3.5%), the origin of reflux could not be determined.
Reflux in the SFJ does not involve the TV in 24.8% of the legs, implying that routine high ligation and ablation close to the TV might be overtreatment in these patients.
本文旨在描述腹股沟区浅静脉反流的模式，重点关注终端瓣膜（TV），该瓣膜位于大隐静脉汇入股总静脉的隐股静脉连接处、大隐静脉及其属支。
本研究纳入了 2019 条因隐股静脉连接处功能不全导致大隐静脉曲张而接受腔内静脉治疗的慢性静脉功能不全的肢体。在术前对浅静脉系统进行双功能超声检查时，记录并根据反流起源对 SFJ、大隐静脉、颅侧静脉（阴部外浅静脉、腹壁浅静脉、旋髂浅静脉）以及前、后辅助隐静脉的 SFJ 、大隐静脉、颅侧静脉（阴部外浅静脉、腹壁浅静脉、旋髂浅静脉）和前、后辅助隐静脉在刺激后的反流情况进行分类。
在 1348 条腿（66.8%）中，反流仅起源于股总静脉。在 170 条腿（8.4%）中，反流起源于股总静脉和颅侧静脉。在 430 条腿（21.3%）中，静脉功能不全仅由隐-颅侧反流引起。在 71 条腿（3.5%）中，无法确定反流的起源。
在 24.8%的肢体中，SFJ 中的反流不涉及 TV，这意味着在这些患者中，常规在 TV 附近进行高位结扎和消融可能是过度治疗。
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