Firsov E F, Sukovatykh B S, Nazarenko P M, Belikov L N
Khirurgiia (Mosk). 1994 Sep(9):20-3.
The regular features of the passage of vertical blood reflux from the pelvic veins to the veins of the lower limbs were studied in 65 patients with varicosity by means of retrograde pelvic phlebography (RPP). The following atypical forms of varicosity were found to be absolute indications for RPP: varicosity of the gluteal veins, the veins of the ischiatic and pubic regions, the posterior and medial surface of the upper third of the thigh, and the veins of the genitals. The relative indications are recurrent varicosity with varicose veins in the inguinal region and operative scars preventing puncture of the femoral vein of the limb under study, and the development of various complications in puncture retrograde phlebography which make the examination difficult.
通过逆行盆腔静脉造影术(RPP),对65例静脉曲张患者盆腔静脉至下肢静脉垂直血液反流的常规特征进行了研究。发现以下非典型静脉曲张形式是RPP的绝对指征:臀静脉、坐骨和耻骨区域静脉、大腿上三分之一后内侧表面静脉以及生殖器静脉的静脉曲张。相对指征为腹股沟区静脉曲张伴复发性静脉曲张、手术瘢痕妨碍对所研究肢体股静脉进行穿刺、以及穿刺逆行静脉造影术中出现各种并发症导致检查困难。