McIrvine A J, Corbett C R, Aston N O, Sherriff E A, Wiseman P A, Jamieson C W
Br J Surg. 1984 Jul;71(7):509-10. doi: 10.1002/bjs.1800710712.
Patients with primary varicose veins were examined by a combination of the standard tourniquet test with detection of reflux by Doppler ultrasound. Results were compared with standard clinical tests: impulse or thrill at the saphenous opening on coughing, tap impulse at the groin, and the 'Trendelenburg' tourniquet test. The state of competence of the saphenofemoral junction was noted at operation. One hundred and sixty-one limbs of 105 patients were studied. The saphenofemoral junction was incompetent in 132/161 limbs (82 per cent) and was judged competent in 29/161 limbs (18 per cent). The combined Doppler and tourniquet test assessed the saphenofemoral junction correctly in 82 per cent of limbs and was more accurate than all the other tests. The test had good sensitivity (0.9) but poor specificity (0.45). Poor specificity was a feature of all the tests except for thrill which was a highly insensitive test. The combined Doppler and tourniquet test appears to be the most simple, rapid and accurate means of detecting saphenofemoral incompetence.
对原发性静脉曲张患者采用标准止血带试验结合多普勒超声检测反流的方法进行检查。将结果与标准临床检查进行比较：咳嗽时隐静脉裂孔处的冲动或震颤、腹股沟处的轻拍冲动以及“Trendelenburg”止血带试验。手术时记录大隐静脉股静脉交界处的功能状态。对105例患者的161条肢体进行了研究。161条肢体中，大隐静脉股静脉交界处功能不全的有132条（82%），功能正常的有29条（18%）。多普勒和止血带联合试验对82%的肢体大隐静脉股静脉交界处评估正确，比所有其他检查更准确。该试验敏感性良好（0.9）但特异性较差（0.45）。除震颤是一种高度不敏感的检查外，特异性差是所有检查的一个特点。多普勒和止血带联合试验似乎是检测大隐静脉股静脉功能不全最简单、快速且准确的方法。
