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Relationship between clinical severity and hemodynamic impact of great saphenous vein incompetence using strain gauge plethysmography and duplex ultrasound.应用应变量计容积描记法和双功能超声评估大隐静脉功能不全的临床严重程度与血液动力学影响的关系。
Phlebology. 2022 Sep;37(8):579-587. doi: 10.1177/02683555221101711. Epub 2022 May 13.
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应用应变量计容积描记法和双功能超声评估大隐静脉功能不全的临床严重程度与血液动力学影响的关系。

Relationship between clinical severity and hemodynamic impact of great saphenous vein incompetence using strain gauge plethysmography and duplex ultrasound.

机构信息

Department of Thoracic and Vascular Surgery and Department of Health, Medicine and Caring Sciences, 4566Linköping University, Linköping, Sweden.

Department of Clinical Physiology and Department of Health, Medicine and Caring Sciences, 4566Linköping University, Linköping, Sweden.

出版信息

Phlebology. 2022 Sep;37(8):579-587. doi: 10.1177/02683555221101711. Epub 2022 May 13.

DOI:10.1177/02683555221101711
PMID:35549546
Abstract

OBJECTIVES

To evaluate the relation of quantitative Duplex ultrasound (DUS) and strain gauge plethysmography (SGP) parameters with clinical severity and quality of life in patients with superficial venous incompetence.

METHODS

DUS volume flow and distal SGP refilling times (T and T) were evaluated in 152 patients (164 Limbs) with superficial incompetence. Clinical severity and quality of life were evaluated with C of the CEAP classification, venous clinical severity score (VCSS), Aberdeen varicose vein questionnaire (AVVQ), and EuroQol 5D-3L.

RESULTS

Higher DUS volume flow was associated with higher C in CEAP scores. Volume flow was also related to T and T. Shorter T and T were associated with higher C in CEAP and VCSS. T was also associated with EQ-5DVAS. Reflux extension to the foot wase associated with shorter T and T and higher DUS volume flow.

CONCLUSIONS

DUS volume flow and SGP refilling times are related with clinical severity and provide quantitative information regarding venous function in patients with superficial incompetence.

摘要

目的

评估定量双功能超声（DUS）和应变计容积描记法（SGP）参数与浅静脉功能不全患者临床严重程度和生活质量的关系。

方法

对 152 例（164 条肢体）浅静脉功能不全患者的 DUS 容积流量和远端 SGP 充盈时间（T 和 T）进行评估。采用 CEAP 分类的 C 期、静脉临床严重程度评分（VCSS）、阿伯丁静脉曲张问卷（AVVQ）和 EuroQol 5D-3L 评估临床严重程度和生活质量。

结果

较高的 DUS 容积流量与 CEAP 评分中的 C 期较高相关。流量也与 T 和 T 有关。T 和 T 越短，CEAP 和 VCSS 的 C 期越高。T 也与 EQ-5DVAS 有关。反流延伸至足部与 T 和 T 缩短以及 DUS 容积流量增加有关。

结论

DUS 容积流量和 SGP 充盈时间与临床严重程度相关，并为浅静脉功能不全患者的静脉功能提供定量信息。