Gu X, Yang Z, Chen J
Department of Radiology, Renji Hospital, Shanghai Second Medical University.
Zhonghua Yi Xue Za Zhi. 1995 Jun;75(6):349-51, 383.
We analysed venograms of recurrent varicose veins in 180 cases (206 lower limbs). Deep vein valvular insufficiency resulted in varicose veins in 52.9% cases, and post-thrombotic syndrome in 18.9%. The causes of postoperative recurrent varicose veins varied: blindly performed single superficial veins operation, low ligation of the long saphenous trunk, incomplete stripping of varicose veins, missing of the short varicose saphena or incomplete ligation of the perforating veins and failure of deep vein valvular repairs. Venography is of value in making correct diagnosis and choosing appropriate operations.
我们分析了180例复发性静脉曲张患者(206条下肢)的静脉造影。深静脉瓣膜功能不全导致52.9%的患者出现静脉曲张,18.9%的患者出现血栓形成后综合征。术后复发性静脉曲张的原因各不相同:盲目进行单一浅静脉手术、大隐静脉主干低位结扎、静脉曲张剥脱不完全、遗漏小隐静脉曲张或交通静脉结扎不完全以及深静脉瓣膜修复失败。静脉造影对于做出正确诊断和选择合适的手术具有重要价值。