Jing Z, Lu P, Cao G
Division of Vascular Surgery, Changhai Hospital, Shanghai.
Zhonghua Wai Ke Za Zhi. 1995 Feb;33(2):108-11.
The venous valve undergoes more destruction and malfunction, and the quantity and duration of venous valvular reflux are larger and longer. On the basis of this mechanism, we detected the popliteal vein reflux duration and various influencing factors with duplex ultrasound. The reflux duration longer than 0.5 secand was verified as the evidence of primary venous insufficiency (PVI) in the detection of 40 cases. The detecting method recommended by us is that with standing position, and pneumatic compression 10. 67kPa (80mmHg) applied to calf, the reflux duration through popliteal venous valves is detected by using both pulsed-wave Doppler scanning and color-flow Doppler scanning. With the rates of sensitivity (92%), specificity (100%), and accuracy (94%), this noninvasive, quantitative, and easily handled method showed a very good diagnostic value.
静脉瓣膜遭受更多破坏且功能失调,静脉瓣膜反流的量和持续时间更大且更长。基于此机制,我们用双功能超声检测了腘静脉反流持续时间及各种影响因素。在对40例患者的检测中,反流持续时间超过0.5秒被确认为原发性静脉功能不全(PVI)的证据。我们推荐的检测方法是,让患者站立,对小腿施加10.67kPa(80mmHg)的气压压迫,通过使用脉冲波多普勒扫描和彩色血流多普勒扫描来检测通过腘静脉瓣膜的反流持续时间。这种无创、定量且易于操作的方法,其灵敏度为92%、特异性为100%、准确性为94%,显示出很好的诊断价值。