印度北部原发性静脉疾病导致皮肤改变患者病理性静脉反流的分布模式及相关危险因素。
Distribution patterns of pathological venous reflux and risk factors in patients with skin changes due to primary venous disease in North India.
机构信息
Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Phlebology. 2021 Apr;36(3):209-216. doi: 10.1177/0268355520957193. Epub 2020 Sep 15.
OBJECTIVES
To determine the distribution patterns of pathological venous reflux and risk factors in patients with skin changes due to primary venous disease.
METHODS
Two hundred limbs belonging to C4, C5 & C6 classes were examined with duplex ultrasound to determine the sites of reflux. We also analyzed the correlation of risk factors with patterns and severity of disease.
RESULTS
Among 200 limbs, superficial system reflux was found in 163 limbs (81.5%), deep system reflux in 10 limbs (5%) and perforator system reflux in 180 limbs (90%). The most common pattern of abnormality was combined superficial and perforator system reflux. Of all the risk factors, prolonged standing, obesity and in the female history of pregnancy preceding varicose occurrence had the highest prevalence.
CONCLUSIONS
In patients with primary chronic venous disease, lifestyle modification is required to avoid risk associated with obesity and prolonged standing. The higher prevalence of pathological perforator reflux in association with advanced venous disease necessitates careful treatment of this least reported pathology to achieve better treatment results.
目的
确定原发性静脉疾病导致皮肤改变患者病理性静脉反流的分布模式和相关危险因素。
方法
采用双功能超声对 C4、C5 和 C6 级的 200 条肢体进行检查，以确定反流部位。我们还分析了危险因素与疾病类型和严重程度的相关性。
结果
在 200 条肢体中，163 条（81.5%）存在浅静脉系统反流，10 条（5%）存在深静脉系统反流，180 条（90%）存在交通静脉系统反流。最常见的异常模式是浅静脉和交通静脉系统联合反流。在所有的危险因素中，久站、肥胖和女性静脉曲张发生前的妊娠史的发生率最高。
结论
在原发性慢性静脉疾病患者中，需要改变生活方式，避免肥胖和久站带来的风险。病理交通静脉反流在静脉疾病进展中更为常见，需要对这种报道最少的病理进行仔细治疗，以获得更好的治疗效果。
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