Large J
Aust N Z J Surg. 1984 Aug;54(4):357-9. doi: 10.1111/j.1445-2197.1984.tb05333.x.
While it is rational to ligate incompetent proximal saphenous valves, when treating varicose veins, it is hard to justify ligation if they are competent. Accurate diagnosis of competence by clinical tests have proved less than satisfactory. Doppler testing, with a simple blood flow indicator, is suggested as a sound basis on which to make decisions regarding 'selective ligations' of incompetent proximal valves.
虽然在治疗静脉曲张时结扎功能不全的大隐静脉近端瓣膜是合理的，但如果瓣膜功能正常，结扎就很难说得通。通过临床检查准确诊断瓣膜功能一直不尽人意。建议使用带有简单血流指示器的多普勒检测，作为对功能不全的近端瓣膜进行“选择性结扎”决策的可靠依据。
