Bentley P G, Hill P L, de Haas H A, Mistry F, Kakkar V V
Br J Radiol. 1979 Apr;52(616):289-301. doi: 10.1259/0007-1285-52-616-289.
Ascending contrast venography often fails to show the proximal venous system when there is co-existing occlusion of femoral or iliac veins. Retrograde and pertrochanteric venography both have severe limitations in terms of invasiveness and reliability. Radionuclide venography (RNV) is suggested as a less invasive alternative. 100 patients were investigated by both RNV and X-ray contrast venography (XRV). There was a 72% overall correlation between two methods of investigation. The proximal definition of XRV was limited in those cases with femoral obstruction. RNV, however gave progressively better views as imaging became more proximal and this was accentuated in the presence of femoral or iliac occlusion. RNV is simple and easy to perform and less invasive than XRV. The definition at calf level is such that it cannot at this stage replace XRV as the standard diagnostic procedure. However, in patients with proximal occlusions it gives more reliable information than that obtainable by ascending contrast venography.
当股静脉或髂静脉同时存在阻塞时，上行性静脉造影常常无法显示近端静脉系统。逆行静脉造影和经转子静脉造影在侵入性和可靠性方面都有严重局限性。放射性核素静脉造影（RNV）被认为是一种侵入性较小的替代方法。对100例患者进行了RNV和X线造影静脉造影（XRV）检查。两种检查方法的总体相关性为72%。在股静脉阻塞的病例中，XRV对近端的界定有限。然而，随着成像越来越接近近端，RNV显示的图像越来越好，在存在股静脉或髂静脉阻塞的情况下这种情况更为明显。RNV操作简单，比XRV侵入性小。小腿水平的清晰度使得它目前还不能取代XRV成为标准诊断程序。然而，对于近端阻塞的患者，它能提供比上行性静脉造影更可靠的信息。
