Thomas M L, MacDonald L M
Br Med J. 1978 Jul 29;2(6133):317-8. doi: 10.1136/bmj.2.6133.317.
Forty patients were studied prospectively for complications of ascending phlebography. The commonest immediate complication was pain at the site of injection and the commonest delayed complication pain in the foot or calf. Out of 30 patients with pain in the foot and calf, 15 had venous thrombosis. Review of 200 case notes disclosed only one recorded complication--namely, necrosis of the dorsal skin of the foot. Complications of the procedure reported by referring clinicians over 10 years comprised four cases of necrosis of the dorsum of the foot and two of gangrene of the foot, in one of which the gangrene spread to the leg. Major complications of ascending phlebography are rare, though when they occur may cause serious morbidity. If a scrupulous technique is used contrast phlebography remains the most accurate method of diagnosing venous disease of the leg.
对40例患者进行了前瞻性的上行静脉造影并发症研究。最常见的即刻并发症是注射部位疼痛，最常见的延迟并发症是足部或小腿疼痛。在30例足部和小腿疼痛的患者中，15例有静脉血栓形成。查阅200份病例记录仅发现1例有记录的并发症，即足部背侧皮肤坏死。转诊临床医生在10年期间报告的该检查并发症包括4例足部背侧坏死和2例足部坏疽，其中1例坏疽蔓延至小腿。上行静脉造影的主要并发症很少见，不过一旦发生可能导致严重的发病情况。如果采用严谨的技术，造影静脉造影仍是诊断腿部静脉疾病最准确的方法。
